Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health Organization

Overview:Rencana Penanggulangan Bencana

di Rumah Sakitdi Rumah Sakit

Hendro WartatmoHendro WartatmoTim PMPK – FK UGM

1Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Bencana di Rumah Sakit:• Situasi di RS dalam keadaan bencana:

– Kemampuan terlampaui ‐‐‐‐ chaos ‐‐‐‐ pelayanan sub standard

R P l B di R h S kit• Rencana Penanggulangan Bencana di Rumah 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 mungkinKeadaan chaos sesingkat mungkin

– Mortalitas dan morbiditas serendah mungkin

– Distribusi pasien ke RS‐RS merata

Tid k i lk l i di id– Tidak meninggalkan pelayanan individu

2Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Pelaksanaan:Pelaksanaan:

• Bekerja semaksimal mungkin dengan meningkatkan dayaj g g g ykemampuan

• Tidak meninggalkan prinsip penanganan individual

• Melanjutkan penanganan pasien yg sudah ada di RS sebelemnya

• Mengatasi problem non medis akibat bencana• Mengatasi problem non medis akibat bencana

• Mendukung pelayanan di area bencana.

3Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Prinsip RPB‐RSp

• Bukan sekedar eskalasi / peringatan dini

• Based on existing organizational structures( supaya pelayanan rutin tdk terganggu )( p y p y g gg )

• As simple as possible, as comprehensive as necessarynecessary

• OMP fro preparedness, Check‐list during emergencyemergency

4Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Prinsip organisasiPrinsip organisasi

• Bukan sekedar eskalasi / peringatan dini• Bukan sekedar eskalasi / peringatan dini

• Ramping

P li h t• Pelimpahan wewenang yang cepat

• Markas yg sudah disiapkan berserta pendukungnya

• Siapkan fasilitas – protap – personil sesuai rencana

• Collapsable Concept

5Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Organisasi PB-RS:Organisasi PB RS:Coordination Team

Medical CoordinatorCoordinator

Senior Senior SeniorEmergencyManager Nurse EmergencyPhysician

6Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Organisasi PB RS Tipe D / Puskesmas Ranap

Ketua TimMedis

SeksiAdministrasi

SeksiKeperawatan

SeksiMedis

Operatortelpon

Ranap UGDDokter Gadar /

SpesialisLaboratorium

Pekarya

7Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Senior Manager

Operation ManagementSuport

Facilities

Senior Senior Senior Senior Senior Volunteer Religious Senior

SeniorTelephonist

Press Officer

Senior Porter

Senior TransportManger

Senior Enquiries

Officer

Senior SecurityManager

Senior Admissions

Officer

VolunteerCoordinator

ReligiousOfficer

Senior SocialWorker

LinenService

Manager

SeniorSuppliesManager

CSSUManager

TSSUManager

SeniorCateringManager

SeniorEngineer

MedicalPhotographer

CrecheManager

The Management Hierarchy8

Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

MedicalCoordinator

The Clinical Hierarchy

Medical SupportServices

SeniorEmergency Physician

ConsultanHaemato-

logist

ConsultanBiochemist

SeniorMLSO

ConsultanPathologist

ConsultantPsychiatrist

ConsultanRadiologist

HouseOfficers

Sub-SpcialityConsultants

SpRs

SeniorSurgeon

SeniorPhysician

SeniorPhamacist

SeniorIntensivist

SeniorPaediatrician

SurgicalArea

SeniorAnaesthetis

SeniorSurgeonTheatres

SeniorRadiographer

RadiologistOn-call

DutyRadiographer

MLSOTransfusion

MLSOHaematology

MLSOBiochemistry

Trans-fer

Teams

OperatingTeams

SpecialistOperating

Teams

SeniorSurgeonPost-Op

SeniorSurgeonPre-Op

P3P1 & P2

PhysicianMinors

TreatmentTeams

SurgeonMinors

TreatmentTeams

PaediatricAssessment MinorsTeamsMinorsTeamsAssessment

Teams

9Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Senior Nurse

Senior NurseED

Senior NurseDischarge Area

Senior NurseITU

Senior NurseTheatres

Senior NurseWards

TriageNurse

SeniorNurse

P1 Resus

SeniorNurse

P2

SeniorNurse

P3

TeamCoordinator

ITUNurses

Senior ODP/Anaesthetic

Nurse

TheatreNurse

SeniorNurse

AdmissionsWards

SeniorNurse

Paediatrics

SeniorNursePre-Op

SeniorNurse

Post-Op

TreatmentTeam

NursesP1

TreatmentTeam

NursesP2

TreatmentTeam

NursesP3

AnaestheticNurses/ODPs

The Nursing Hierarchy

Harus ada Pengembangan1

Pengembangan 2

10Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Organisasi PB-RS

DIREKTUR RS

Ketua Tim LaiasonOfficer

Pelaksana / eksekutorBertanggung jawab ke Direktur

MenejemenRS

KoordinatorParamedis

KoordinatorMedisRS Paramedis Medis

Profesional / mandiri / self generatingBertanggung jawab ke ketua timBertanggung jawab ke ketua tim

11Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

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

12Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Organisasi PB-RSOrganisasi PB RS

Ka UGD( Dokter Jaga

Bedah

KaBidPelayanan

KaBidPerawatan

KaBidYanMed Tim PenunjangPelayanan

( Case Manager )

Logistik Tehnik Relawan Komunikasi

Perawatan( KaRu UGD )

Perawat ICU Perawat OK

YanMed( Dr Jaga UGD )

Bedah

OK

Anestesi

Lapanganj g

Medis

Lab. Radiologi

OK

UGD

13Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Prosedur tetapProsedur tetap

Koordinator

Rapid Health AssessementPeringatan diniAkti iKoordinator

Bidang Bidang Bidang

AktivasiPelaporanStandar SDMHazard mapingNetworkingBidang

MenejemenBidang

KeperawatanBidangMedis

gKoordinasi relawan

Rekruitmen timPersiapan OKPersiapan Triase

Pengaturan MediaMenejemen relawanLogistik medisKomunikasi

Rekruitmen timTriaseArea cadanganRujukanKomunikasi

Cadangan listrikLogistik teamTransportasi

Rujukan

14Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Standar Pelatihan

KoordinatorDisaster Management Incident CommanderHOPE

BidangMenejemen

BidangKeperawatan

BidangMedis

HOPE

Menejemen Keperawatan Medis

PPGDPerawat ICUPerawat OKKomunikasi medikEkstrikasi

HOPEKomunikasi medikMenejemen logistikStruktur gedung

ATLSACLCFirst reponder

Ekstrikasi

15Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

The Ten Commandments

1. Scope and Run2. Patient flooding2. Patient flooding3. Write plant4. Surge capacity5 Triage at Hospital5. Triage at Hospital6. Care Priorities7. Mental Health8. Family care9. Decontamination10. Drill

16Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit

Centre for Health Service ManagementFaculty of Medicine

Universitas Gadjah Mada

Ministry of HealthRepublic of Indonesia

World Health OrganizationModul Inti: Koordinasi

Conclussion

• HDP for every Hospital

• Response is Function of Preparedness

• Networkingg

17Modul In-House Training untuk Rencana Penanggulangan Bencana di Rumah Sakit