• Tidak ada hasil yang ditemukan

Materi Workshop Tindak Lanjut EMT di Sentul, 19-20 Desember 2016 KONSEP EMTS 2016

N/A
N/A
Protected

Academic year: 2017

Membagikan "Materi Workshop Tindak Lanjut EMT di Sentul, 19-20 Desember 2016 KONSEP EMTS 2016"

Copied!
32
0
0

Teks penuh

(1)

EMERGENCY MEDICAL

TEAMS (EMTs)

(2)

The term EMTs refers to

groups of health

professionals

providing direct clinical care

to

populations

affected by disasters or outbreaks and

emergencies

as surge capacity in

support of the local

health system

.

EMTs can include governmental (both civilian and

military) and non- governmental personnel and can

be comprised of both national and international

(3)
(4)
(5)

KELEMBAGAAN / KEBIJAKAN

MITIGASI SIAGAANKESIAP

PENGUATAN KAPASITAS

PERINGATAN DINI

PEMERINTAH

DUNIA USAHA

MASYARAKAT

KELEMBAGAAN

PRB

TERINTEGRASI DALAM

PEMBANGUNAN

PARADIGMA

PENDEKATAN

KLASTER

WAKTU RESPON

SISTEM KELOLA

(6)

RESIKO

KELOLA

TINGKATKAN

KURANGI

ALAM

NON ALAM

SOSIAL

KLASTER KESEHATAN

PEMBERDAYAAN

STRATEGI MENURUNKAN IRBI

388 (78 %) kabupaten/kota :

risiko tinggi

(7)

KEBIJAKAN PEMERINTAH DALAM KLASTER

KEP KA BNPB NO 173 TH 2014

KESEHATAN

PENCARIAN DAN

PENYELAMATAN

LOGISTIK

PENGUNGSIAN DAN

PERLINDUNGAN

PENDIDIKAN

SARANA DAN

PRASARANA

EKONOMI

(8)

PENCARIAN

DAN

PENYELAMATAN

KESEHATAN

PENGUNGSIAN

DAN

PERLINDUNGAN

SARANA DAN

PRASARANA

MFR TIM SAR

GIZI PENGUNGSI

LAYANAN KESEHATAN

HYGIENE SANITASI

TRUMA HEALING

KUALITAS AIR

LISTRIK FASKES

LOGISTIK

(9)

TUGAS KLASTER

KEP KA BNPB NO 173 TH 2014

PELAKSANA SUB KLASTER

1.PELAYANAN KESEHATAN

SUB KLASTER PELAYANAN

KESEHATAN

2.PENGENDALIAN PENYAKIT

SUB KLASTER PENGENDALIAN PENYAKIT

DAN PENYEHATAN LINGKUNGAN

3.PENYEHATAN LINGKUNGAN

4.PENYIAPAN AIR BERSIH DAN SANITASI

YANG BERKUALITAS

5.PELAYANAN KESEHATAN GIZI

SUB KLASTER PELAYANAN GIZI

6.PENYIAPAN KESEHATAN REPRODUKSI

DALAM SITUASI BENCANA

SUB KLASTER KIA DAN REPRODUKSI

7.PENANGANAN KESEHATAN JIWA

SUB KLASTER KESEHATAN JIWA

8.PENATALAKSANAAN KORBAN MATI

SUB KLASTER DVI

(10)

Pelaksana Klaster

Kesehatan Regional

Pembinaan Klaster

Provinsi dan Penyiapan

EMTs NASIONAL di

Regional

KEBIJAKAN

NASIONAL DAN

PENYIAPAN

EMTs

NASIONAL

PUSAT

REGIONAL

UPT

VERTIKAL

KAPASITAS

PROVINSI

REGIONAL

(11)

Pembinaan Klaster

Kabupaten / Kota

dan penyiapan

EMTs Provinsi

KEBIJAKAN

EMERGENCY

PROVINSI

,

RECOVERY

DINI DAN

PENYIAPAN

EMTs

PROVINSI

PROVINSI

UPT

PROVINSI

KAPASITAS

PROVINSI

(12)

Pemeliharaan

Kapasitas Klaster

Kesehatan

Kabupaten / Kota

PRB, MITIGASI,

MANAGEMENT

EMERGENCY /

LOCAL EMERGENCY

COMMUNITY /

SPGDT / PSC

KABUPATEN

/ KOTA

UPT

KABUPATEN /

KOTA

KAPASITAS

KABUPATEN /

KOTA

(13)

The term EMTs refers to groups of health professionals

providing direct clinical care to populations affected by

disasters or outbreaks and emergencies as surge capacity in

support of the local health

(14)

KAB/KOTA

RECOVERY DINI

EMTs

REHAB REKON

(15)

PRB

SPGDT

V

PRE

HOSP.

AMB

(16)

PRE HOSPITAL

HOSPITAL

AMBULANCE

SERVICE

MAMPU MERESPON

MAMPU MEMINTA TOLONG

(17)

UNSUR TERPADU DALAM SPGDT

PRE HOSPITAL

HOSPITAL

AMBULANCE

SERVICE

INTERNAL DISASTER PLAN

EXTERNAL DISASTER PLAN

FIRST RESPONDER

(18)

- PELAYANAN

GAWAT DARURAT

- PERAWATAN

DEVINITIF

HOSPITAL CARE

TITIK

PENGUNGSIAN

TRIAGE

RESUSITASI

EVAKUASI

TIM AMBULAN

POS UNGSI SEMENTARA

PRE-HOSPITAL

(19)

TRIAGE

COLLECT INFORMATION

INITIAL ALLERT

DECONTAMINATION

DOCUMENTATION

TREATMENT

ARRIVAL OF PATIENT

DEATH

IN DOOR

DISCHARGE

INITIATE PREPARATION

MOBILIZATION OF RESOURCES

NOTIFY KEY PERSONS

(20)
(21)

TYPE 1 - MOBILE

TYPE 1 - FIXED

TYPE 2

TYPE 3

SPECIALIST CELLS

PRIMARY & EMERGENCY CARE MOBILE

OUTPATIENT CARE

PRIMARY & EMERGENCY CARE OUTPATIENT CLINIC

EMERGENCY CARE OUTPATIENT CLINIC & INPATIENT SURGICAL TRAUMA CARE FACILITY

EMERGENCY CARE OUTPATIENT CLINIC & INPATIENT INTENSIVE & REFERRAL CARE FACILITY

SPECIALIST CARE TEAMS

Able to treat minimum per day: 50 outpatients

Able to treat minimum per day: 100 outpatients

Able to treat minimum per day:

100 outpatients , 20 inpatients , 7 major surgical procedures 15 minor surgical procedures

Able to treat minimum per day:

100 outpatients 40 inpatients 4 intensive care 15 major surgical procedure 30 minor surgical procedures

Pre-hospital transport, Primary medical care, Maternal child healt, Surgical speciality, Infectious & Outbreak, Dialysis, Rehabilitation , Medevac retrieval

Day time services only Day time services only Day time outpatient services

24 hour inpatient & surgical services

Day time outpatient services 24 hour inpatient & surgical services

Embedded specialist services only

Mobile team & equipment

Fixed team & equipment Fixed team & equipment Fixed team & equipment Mobile or Fixed team & equipment

No temporary clinical facility

Temporary clinical facility provided

Temporary clinical facility provided

Temporary clinical facility provided

No temporary clinical facility

Deployment 14 days minimum

Deployment 14 days minimum

Deployment 21 days minimum

Deployment 28 days minimum

Deployment 14 days minimum

(22)

KEBIJAKAN NASIONAL

DAN PENYIAPAN

EMTs

NASIONAL

PUSAT

KEBIJAKAN EMERGENSI

PROVINSI DAN

PENYIAPAN

EMTs

PROVINSI

PROVINSI

KEBIJAKAN EMERGENSI /

LOCAL EMERGENCY

COMMUNITY / SPGDT-B

EMTs KABUPATEN /

KOTA

(23)

PUSAT

PROVINSI

PKM/KLINIK

KABUPATEN

/ KOTA

EMT 1 fixed

EMT 1 mobile

EMT 2

RSUD/RS LAIN

EMT SPC

RSUD/RS LAIN

EMT 2

EMT SPC

RSUP/RSUD

RS LAIN

EMT 2

(24)

PKM/KLINIK

KABUPATEN

/ KOTA

EMT 1 fixed

EMT 1 mobile

EMT 2

RSUD/RS LAIN

EMT SP Cells

TYPE 1 - MOBILE

TYPE 1 - FIXED

TYPE 2

SPECIALIST CELLS (SP Cells)

PRIMARY & EMERGENCY CARE MOBILE OUTPATIENT CARE

PRIMARY & EMERGENCY CARE OUTPATIENT CLINIC

EMERGENCY CARE

OUTPATIENT CLINIC & INPATIENT SURGICAL TRAUMA CARE FACILITY

SPECIALIST CARE TEAMS

Able to treat minimum per day: 50 outpatients

Able to treat minimum per day: 100 outpatients

Able to treat minimum per day: 100 outpatients , 20 inpatients 7 major surgical procedures 15 minor surgical procedures

Pre-hospital transport, Primary medical care, Maternal child healt Surgical speciality, Infectious & Outbreak, Dialysis, Rehabilitation Medevac retrieval

Day time services only Day time services only Day time outpatient services 24 hour inpatient & surgical services

Embedded specialist services only

Mobile team & equipment Fixed team & equipment Fixed team & equipment Mobile or Fixed team & equipment

No temporary clinical facility Temporary clinical facility provided

Temporary clinical facility provided No temporary clinical facility

Deployment 14 days minimum Deployment 14 days minimum

(25)

PROVINSI

RSUD/RS LAIN

EMT 2

EMT SP Cells

TYPE 2

SPECIALIST CELLS (SP Cells)

EMERGENCY CARE, OUTPATIENT CLINIC &

INPATIENT,SURGICAL TRAUMA CARE FACILITY

SPECIALIST CARE TEAMS

Able to treat minimum per day:

100 outpatients, 20 inpatients

7 major surgical procedures, 15 minor surgical

procedures

Pre-hospital transport, Primary medical care,

Maternal child healt, Surgical speciality,

Infectious & Outbreak, Dialysis, Rehabilitation,

Medevac retrieval

Day time outpatient services

24 hour inpatient & surgical services

Embedded specialist services only

Fixed team & equipment

Mobile or Fixed team & equipment

Temporary clinical facility provided

No temporary clinical facility

(26)

PUSAT

RSUP/RSUD

RS LAIN

EMT 2

EMT SPC

EMT 3

TYPE 2

TYPE 3

SPECIALIST CELLS (SP Cells)

EMERGENCY CARE

OUTPATIENT CLINIC & INPATIENT

SURGICAL TRAUMA CARE FACILITY

EMERGENCY CARE

OUTPATIENT CLINIC & INPATIENT

INTENSIVE & REFERRAL CARE FACILITY

SPECIALIST CARE TEAMS

Able to treat minimum per day:

100 outpatients, 20 inpatients

7 major surgical procedures, 15 minor

surgical procedures

Able to treat minimum per day:

100 outpatients, 40 inpatients

4 intensive care ,15 major surgical

procedure , 30 minor surgical

procedures

Pre-hospital transport, Primary

medical care, Maternal child healt,

Surgical speciality, Infectious &

Outbreak, Dialysis, Rehabilitation,

Medevac retrieval

Day time outpatient services

24 hour inpatient & surgical services

Day time outpatient services 24 hour

inpatient & surgical services

Embedded specialist services only

Fixed team & equipment

Fixed team & equipment

Mobile or Fixed team & equipment

Temporary clinical facility provided

Temporary clinical facility provided

No temporary clinical facility

(27)

- PELAYANAN GAWAT DARURAT - PERAWATAN DEVINITIF

HOSPITAL CARE

TITIK PENGUNGSIAN

TRIAGE

RESUSITASI

TIM AMBULAN

POS UNGSI SEMENTARA

PRE-HOSPITAL

SISTEM RUJUKAN

EMT 1 mob

EMT 1 fix

EMT 1 fix

EMT 2

EMT 3

PKM

RS-RS

EMT 2

EVAKUASI

(28)

EMTs - 2

EMTs - 2

J 0 sd + 24

- seluruh EMT 1 mobil PKM merespon

- RSUD Pidie Jaya colaps (listrik mati)

- EMTs SP Cells merespon dan memutuskan semua operasi emergensi dilaksanakan di

Sigli (EMTs SP Cells dari arah Banda Aceh) dan Bireuen (EMTs SP Cells dari arah

Medan)

H + 1 dst perkuatan EMTs 1 mobile dan EMTs 1 fixed di seluruh daerah terdampak.

(29)

HASIL YANG DIHARAPKAN

(30)

MATRIK KAPASITAS

EMT

TYPE 1 MOBILE

TYPE 1 FIXED

TYPE 2

TYPE 3

SPECIALIST CELLS

DISPARITAS

KAPASITAS PROV

KAB/KOTA

FASYANKES

SDM NAKES

GEOGRAFIS

(31)
(32)

Referensi

Dokumen terkait