RAM SMO Course

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COMMANDER NAVAL AIR FORCES Radiation Health
Update NEHC 2006
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Overview

• Role of TYCOM RHO
• Rad Health Instruction, CNAF 6470.4
• Inspections, Assessments and Visits
• Common Inspection Deficiencies
• Dose Estimates/Investigations
• RHO vs MAO
• Radiation Health Tech Update
• RHO Turnover
• Future Issues

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Role of TYCOM RHO

• Provide assistance at the TYCOM level to ensure
  compliance of applicable instructions through
  regular assistance, training and inspection
• Provide technical assistance as needed regarding
  dosimetry, physical exams, and any
  incidents/accidents involving ionizing radiation
• Consolidate input on issues facing the Fleet
• Liaison officer (Naval Dosimetry Center,
  Specialty Leader, Naval Reactors, etc.).

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CNAF Radiation Health Manual

• COMNAVAIRFOR INSTRUCTION 6470.4
• Revised in November 2004
• Ready reference for the function of a CVN
  radiation health program afloat
• Changes enforced as of April 05

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COMNAVAIRFOR INSTRUCTION 6470.4

• Summary of Requirements
• Audit discrepancy corrective action reports must
  include analysis of audit discrepancies to
  include identification of root causes, corrective
  actions and measures of effectiveness.
• Monthly analysis of radiation exposure
  information. Report exposure trends up the chain
  of command via the COs monthly report.
  Differentiate between yard, pre-deployment
  work-up and deployment underway periods.
  Establish criteria that would require further
  investigation.

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COMNAVAIRFOR INSTRUCTION 6470.4

• Summary of Requirements (Cont)
• Track and assess Dose Investigations (DI) by type
  and frequency. Report DI trends up the chain of
  command via the COs monthly report. Identify
  DI criteria that would require further command
  action.
• CRA and RHO review all discrepancies and
  corrective actions and forward a deficiency
  tracking list to the Commanding Officer, via the
  chain of command, on outstanding corrective
  actions and measures of effectiveness for
  Internal and External audits.

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Inspections, Assessments and Visits

• Radiation Health Audits
• Internal and External
• Surface Nuclear Power Mobile Training Team
  (SNPMTT)
• Admin Audit
• Contaminated Injured Sailor
• Technical Assist Visit (TAV)
• By Request
• Operational Reactor Safeguards Exam (ORSE)
• Post-overhaul Reactor Safeguards Exam (PORSE)

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Inspections, Assessments and Visits

• Health Record Review
• Physicals
• Exposure Records (zero deficiency program)
• Internal Monitoring Records
• Dosimetry Program
• TLD Reader Qualifications
• TLD Reader Worksheets
• Calibration Records
• LiF Program

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Inspections, Assessments and Visits

• Administrative Review
• Monthly COs Dosimetry report
• Situational and Annual Reports to BUMED
• Annual Report to NAVSEA 08
• Dose Investigations and Estimates
• Internal Audit (scope and completeness)
• Corrective Actions (External Internal Audits)
• Visitor Statements and Dose Transmittals

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Inspections, Assessments and Visits

• Training
• All Hands RADCON Training
• Emergency Medical Responders
• Reactor Compartment Tours
• Ship-wide Drills
• Rx Casualty Drills - Contaminated Injured Sailor
  (CIS)
• Praticals and Evolutions
• TLD Read
• Internal Monitoring

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Common AuditDeficiencies

• Exposure Transcription Errors
• Dose Investigation / Estimate Methods and
  Justifications / Complete documentation
• Abnormal Lab Values not properly addressed by a
  physician
• Reports to BUMED submitted late and/or incomplete
• Failure to incorporate new CNAFINST 6470.4
  requirements

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Common Audit Deficiencies

• CONTAMINATED INJURED SAILOR (CIS) DRILLS
• Lack of First Aid provided by first responders to
  CIS at the scene
• Not performing a complete whole body frisk prior
  to starting decontamination.
• Not performing a frisk of the wound with and
  without a beta shield to determine if
  contamination is external or internal to the
  wound.

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Dose Investigations / Dose Estimates

• High Visibility Item with NAVAL REACTORS
• TYCOM Tracks and Reports to NAVSEA 08R
• Leading Causes Lost TLDs and Personnel Entering
  Posted Areas without a TLD
• Methods used to Reduce Numbers
• Decrease the number of badged personnel
• Impose more harsh punishment for lost TLDs (NJP /
  Personal Financial Burden)
• Increase signage and all hands awareness

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Dose Investigation / Dose Estimate stats

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COMPARISON

• RHO vs MAO
• How do we judge success?
• Inspection Results
• Customer Satisfaction

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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Inspection Trends
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Customer Satisfaction

• Driven by inspection results
• Trends suggests that we have room for improvement.

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Improvement Plan

• Standardize a SOP
• Standardize the MTT grading system
• Push improvements to SAMS
• Mentor junior RHOs
• Encourage communication

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Radiation Health TechUpdate

• New Radiation Health Tech Specialty Leader
• HM1 Gaines, NUMI [phone]
• Training
• Mentorship Program Instituted
• Hands-on training
• Manning Issues
• More Sr. Techs Needed

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RHO Turnover

• Large Carrier RHO Turnover Through Summer 2006
• TYCOM RHOs
• Pacific
• LCDR Lisa Kennemur, MSC, USN
• Atlantic
• LCDR Greg Kahles, MSC, USN

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Future Issues

• Electronic Pocket Dosimeters (EPD) Implementation
• Phase out CaF DT-526 dosimeters and implement the
  new LiF DT-702 (Shore facility target date Jun
  06)
• NAVMED P-5055 Revision

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Questions ?
COMNAVAIRLANT Force RHO LCDR Greg Kahles, MSC,
USN [phone] (DSN 564) Fax (757)
444-4720 email gregory.kahles_at_navy.mil
COMNAVAIRPAC Force RHO LCDR Lisa Kennemur, MSC,
USN [phone] Fax [phone] email
lisa.kennemur_at_navy.mil