Overview: Rencana Penanggulangan Bencana

Transkripsi

1 Overview: Rencana Penanggulangan Bencana di Rumah Sakit Hendro Wartatmo Tim PMPK FK UGM 1

2 Bencana di Rumah Sakit: Situasi di RS dalam keadaan bencana: Kemampuan terlampaui chaos pelayanan sub standard Rencana Penanggulangan Bencana di RumahSkit Sakit: 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 mungkin Mortalitas dan morbiditas serendah mungkin Distribusi pasien ke RS RS merata Tidak meninggalkan pelayanan individu id 2

3 Pelaksanaan: Bekerja semaksimalmungkin dengan meningkatkan daya kemampuan Tidak meninggalkan prinsip penanganan individual Melanjutkan penanganan pasien yg sudah ada di RS sebelemnya Mengatasi problem non medis akibatbencana Mendukung pelayanan di area bencana. 3

4 Prinsip RPB RS Bukan sekedar eskalasi / peringatan dini Based on existing organizational structures ( supaya py pelayanan rutintdkterganggu gg ) As simple as possible, as comprehensive as necessary OMP fro preparedness, Check list during emergency 4

5 Prinsip organisasi Bukan sekedar eskalasi / peringatan dini Ramping Pli Pelimpahan wewenang yang cepat Markas yg sudah disiapkan berserta pendukungnya Siapkan fasilitas protap personil sesuai rencana Collapsable Concept 5

6 Organisasi PB-RS: Coordination Team Medical Coordinator Manager Emergency Physician 6

7 Organisasi PB RS Tipe D / Puskesmas Ranap Ketua Tim Medis Seksi Administrasi Seksi Keperawatan Seksi Medis Operator telpon Ranap UGD Dokter Gadar / Spesialis Laboratorium Pekarya 7

8 Manager Operation Management Suport Facilities Telephonist Press Officer Volunteer Religious Porter Transport Enquiries Security Admissions Coordinator Officer Social Manger Officer Manager Officer Worker Creche Manager Medical Photographer Engineer Catering Manager TSSU Manager CSSU Manager Supplies Manager Linen Service Manager The Management Hierarchy 8

9 The Clinical Hierarchy Medical Coordinator Medical Support Services Emergency Physician Consultan Haematologist Consultan Biochemist MLSO Consultan Pathologist Consultant Psychiatrist Consultan Radiologist House Officers Sub-Spciality Consultants SpRs Phamacist Surgeon Physician MLSO Biochemistry MLSO Haematology MLSO Transfusion Radiographer Radiologist On-call Surgical Area Intensivist Paediatrician Duty Radiographer Surgeon Theatres Anaes thetis Surgeon Pre-Op Surgeon Post-Op Specialist Operating Teams Operating Teams Transfer Teams P1 & P2 P3 Paediatric Assessment Teams Treatment Teams Surgeon Minors Treatment Teams Physician Minors 9

10 ED Discharge Area ITU Theatres Wards Triage P1 Resus P2 P3 Team Coordinator ITU s ODP/ Anaesthetic Theatre Admissions Wards Paediatrics Pre-Op Post-Op Treatment Team s P1 Treatment Team s P2 Treatment Team s P3 Anaesthetic s/ ODPs The Nursing Hierarchy Harus ada Pengembangan 1 Pengembangan 2 10

11 Organisasi PB-RS DIREKTUR RS Laiason Officer Ketua Tim Pelaksana / eksekutor Bertanggung jawab ke Direktur Menejemen Koordinator Koordinator RS Paramedis Medis Profesional / mandiri / self generating Bertanggung jawab ke ketua tim 11

12 Organisasi PB-RS Ka UGD ( Dokter Jaga Bedah KaBid Pelayanan ( Case Manager ) KaBid Perawatan ( KaRu UGD ) KaBid YanMed ( Dokter Jaga UGD ) Logistik Tehnik Perawat ICU Perawat OK Bedah Anestesib 12

13 Organisasi PB-RS Ka UGD ( Dokter Jaga Bedah KaBid Pelayanan ( Case Manager ) KaBid Perawatan ( KaRu UGD ) KaBid YanMed ( Dr Jaga UGD ) Tim Lapangan Penunjang Medis Logistik Tehnik Relawan Komunikasi Perawat ICU Perawat OK Bedah Anestesi Lab. Radiologi OK UGD 13

14 Prosedur tetap Koordinator Bidang Bidang Bidang Menejemen Keperawatan Medis Rapid Health Assessement Peringatan dini Aktivasii Pelaporan Standar SDM Hazard maping Networking Koordinasi relawan Pengaturan Media Menejemen relawan Logistik medis Komunikasi Cadangan listrik Logistik team Transportasi Rekruitmen tim Persiapan OK Persiapan Triase Rekruitmen tim Triase Area cadangan Rujukan 14

15 Standar Pelatihan Koordinator Disaster Management Incident Commander HOPE Bidang Bidang Bidang Menejemen Keperawatan Medis HOPE Komunikasi medik Menejemen logistik Struktur gedung PPGD Perawat ICU Perawat OK Komunikasi medik Ekstrikasi ATLS ACLC First reponder 15

16 The Ten Commandments 1. Scope and Run 2. Patient flooding 3. Write plant 4. Surge capacity 5. Triage at Hospital 6. Care Priorities 7. Mental Health 8. Family care 9. Decontamination 10. Drill 16

17 Conclussion HDP for every Hospital Response is Function of Preparedness Networking 17