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LLNL Emergency Management Plan (EPlan) Rev 27 January 2022 92 In the event of a site-wide incident, such as an earthquake, where outside resources may be limited, the LLNL Disaster Response Plan is implemented. This plan provides for additional support in the areas of triage and transport of injured personnel by first-aid trained volunteers. The Laboratory maintains MOUs with Eden Medical Center, Stanford Health Care-ValleyCare Medical Center, and Sutter Tracy Community Hospital for services in the event of a chemical, biological, or radiological incident. Included in the MOU are provisions for joint training, drills and exercises, equipment maintenance, personnel support and procedures including chelation for internal transuranic contamination. 9.2 Staff ACFD personnel at LLNL are trained and certified as Emergency Medical Technician-I by Alameda County and the State of California. Additionally, some fire personnel are State of California licensed and Alameda County certified paramedics who provide 24 hours-a-day, 7 days-a-week coverage to the Laboratory as members of each company. See Section 4 of this Emergency Plan for additional staff and equipment information. The HSD, an Accreditation Association for Ambulatory Health Care accredited organization, is managed by a physician and includes physicians, nurse practitioners, registered nurses, clinical psychologists, physical therapists, x-ray technician, medical assistants and administrative personnel. Physician specialty training may include occupational medicine, emergency medicine, internal medicine, and preventive medicine. Nurse practitioners and nurse’s specialty training may include occupational health, adult health and emergency medicine. All professional staff members who work in the treatment area have received basic life-support training. Staff members who are authorized to function in the decontamination area have received radiation casualty management training from the Radiation Emergency Assistance Center/Training Site. Physicians and nurse practitioners maintain advanced cardiac life-support training. All licensed professional staff maintain current state licenses. Psychologists are available and trained in crisis intervention. The satellite clinic at Site 300 is staffed by a registered nurse during normal work hours, providing basic health services and first aid. Off-hour support is provided by the Fire Department. 9.3 Equipment and Supplies Disaster response supplies and equipment are assembled and maintained by the PPD in coordination with LLNL senior management. They are stored in large, clearly-labeled containers located near each assembly point. There are approximately 100 boxes located throughout Sites 200 and 300.