Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
World Health Organization
Overview: Rencana Penanggulangan Bencana di Rumah Sakit di Rumah Hendro Wartatmo Tim PMPK – FK UGM
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
World Health Organization
Modul Inti: Koordinasi
Bencana di Rumah Sakit: • • • •
Situasi di RS dalam keadaan bencana: – Kemampuan terlampaui ‐‐‐‐ chaos ‐‐‐‐ pelayanan sub standard R Rencana P Penanggulangan l B Bencana di R di Rumah h Sakit: S kit – Hospital Disaster Plan Mengatur penanganan pasien yang jumlahnya banyak, saat bencana: – Organization of Mass‐Admission of Patients in the Hospital ( OMP ) Tujuan / target: – Keadaan chaos sesingkat chaos sesingkat mungkin – Mortalitas dan morbiditas serendah mungkin – Distribusi pasien ke RS‐RS merata – Tidak Tid k meninggalkan i lk pelayanan l i di id individu Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
World Health Organization
Modul Inti: Koordinasi
Pelaksanaan: • Bekerja j semaksimal mungkin g dengan g meningkatkan g daya y kemampuan • Tidak meninggalkan prinsip penanganan individual • Melanjutkan penanganan pasien yg sudah ada di RS sebelemnya • Mengatasi problem non medis problem non medis akibat bencana • Mendukung pelayanan di area bencana.
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
World Health Organization
Modul Inti: Koordinasi
Prinsip p RPB‐RS • Bukan sekedar eskalasi / peringatan dini • Based on existing organizational structures (( supaya p y p pelayanan y rutin tdk terganggu g gg ) • As simple as possible, as comprehensive as necessary • OMP fro preparedness, Check‐list during emergency Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
World Health Organization
Modul Inti: Koordinasi
Prinsip organisasi • • • • • •
Bukan sekedar eskalasi / peringatan / peringatan dini Ramping P li Pelimpahan h wewenang yang cepatt Markas yg sudah disiapkan berserta pendukungnya Siapkan fasilitas – protap – personil sesuai rencana Collapsable Concept Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Organisasi PB PB-RS: RS: Coordination Team Medical Coordinator
Senior Manager
Senior Nurse
Senior Emergency Physician
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Organisasi PB RS Tipe D / Puskesmas Ranap Ketua Tim Medis
Seksi Administrasi Operator telpon
Seksi Keperawatan
Ranap
Seksi Medis
UGD
Dokter Gadar / Spesialis
Laboratorium
Pekarya
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Senior Manager
Operation
Management Suport
Press Officer
Senior Telephonist
Senior Porter
Senior Transport Manger
Senior Enquiries Officer
Creche Manager
Senior Security Manager
Senior Admissions Officer
Medical Photographer
Senior Engineer
Facilities
Volunteer Coordinator
Senior Catering Manager
Religious Officer
TSSU Manager
Senior Social Worker
CSSU Manager
Senior Supplies Manager
Linen Service Manager
The Management Hierarchy
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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The Clinical Hierarchy Medical Coordinator
Senior Emergency Physician
Medical Support Services
Consultan Haematologist
Consultan Biochemist
MLSO Biochemistry
Senior MLSO
MLSO Haematology
Consultan Pathologist
MLSO Transfusion
Consultant Psychiatrist
Consultan Radiologist
Senior Radiographer
House Officers
Sub-Spciality Consultants SpRs
Senior Phamacist
Surgical Area
Radiologist On-call
Duty Radiographer
Senior Surgeon Theatres
Senior Surgeon Pre-Op
Senior Physician
Senior Surgeon
Senior Surgeon Post-Op
Specialist Operating Teams
Senior Intensivist
Senior Anaes thetis
Operating Teams
Transfer Teams
P1 & P2
Paediatric Assessment Teams
Senior Paediatrician
Treatment Teams
P3
Surgeon Minors
Treatment Teams
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
Physician Minors
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Senior Nurse
Senior Nurse ED
Triage Nurse
Senior Nurse P1 Resus
Treatment Team Nurses P1
Senior Nurse P2
Treatment Team Nurses P2
Senior Nurse Discharge Area
Senior Nurse P3
Treatment Team Nurses P3
Team Coordinator
Senior Nurse ITU
ITU Nurses
Senior Nurse Theatres
Senior ODP/ Anaesthetic Nurse
Theatre Nurse
Senior Nurse Wards
Senior Nurse Admissions Wards
Senior Nurse Paediatrics
Senior Nurse Pre-Op
Senior Nurse Post-Op
Anaesthetic Nurses/ ODPs
The Nursing Hierarchy Harus ada
Pengembangan 1
Pengembangan 2
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Organisasi PB-RS DIREKTUR RS
Ketua Tim
Laiason Officer
Menejemen RS
Koordinator Paramedis
Pelaksana / eksekutor Bertanggung jawab ke Direktur
Koordinator Medis
Profesional / mandiri / self generating Bertanggung jawab ke ketua tim
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Organisasi PB-RS
Ka UGD ( Dokter Jaga Bedah
KaBid Pelayanan ( Case Manager )
Logistik
Tehnik
KaBid YanMed ( Dokter Jaga UGD )
KaBid Perawatan ( KaRu UGD )
Perawat ICU
Perawat OK
Bedah
Anestesib
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Organisasi PB PB-RS RS
Ka UGD ( Dokter Jaga Bedah
KaBid Pelayanan ( Case Manager )
Logistik
Tehnik
KaBid Perawatan ( KaRu UGD )
Relawan
Komunikasi
Perawat ICU
Perawat OK
KaBid YanMed ( Dr Jaga UGD )
Bedah
Anestesi
Tim Lapangan
Penunjang j g Medis
Lab.
Radiologi
OK
UGD
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Prosedur tetap Koordinator
Bidang Menejemen
Bidang Keperawatan
Bidang Medis
Rapid Health Assessement Peringatan dini Akti Aktivasi i Pelaporan Standar SDM Hazard maping Networking g Koordinasi relawan
Pengaturan Media Rekruitmen tim Rekruitmen tim Menejemen relawan Persiapan OK Triase Logistik medis Persiapan Triase Area cadangan Komunikasi Rujukan Cadangan listrik Logistik team Transportasi Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
Standar Pelatihan Disaster Management Incident Commander HOPE
Koordinator
Bidang Menejemen
HOPE Komunikasi medik Menejemen logistik Struktur gedung
Bidang Keperawatan
Bidang Medis
ATLS PPGD ACLC Perawat ICU First reponder Perawat OK Komunikasi medik Ekstrikasi
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
Modul Inti: Koordinasi
World Health Organization
The Ten Commandments 1. 2. 3. 4. 5 5. 6. 7. 8. 9. 10.
Scope and Run Patient flooding Write plant Surge capacity Triage at Hospital Care Priorities Mental Health Family care Decontamination Drill
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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Centre for Health Service Management Faculty of Medicine Universitas Gadjah Mada
Ministry of Health Republic of Indonesia
World Health Organization
Modul Inti: Koordinasi
Conclussion • HDP for every Hospital • Response is Function of Preparedness • Networkingg
Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit
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