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

EMERGENCY MEDICAL
TEAMS (EMTs)
KONSEP UNTUK INDONESIA

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
staff.

LABORATORIUM BENCANA

388 (78 %) kabupaten/kota : risiko tinggi

109 (22 %) kabupaten/kota : risiko sedang

KESIAP

SIAGAAN

MITIGASI

RESIKO
KELEMBAGAAN
/ KEBIJAKAN

PENGUATAN
KAPASITAS
PERINGATAN
DINI

• PEMERINTAH
• DUNIA USAHA
• MASYARAKAT

KELEMBAGAAN

PARADIGMA

• PRB
• TERINTEGRASI DALAM
PEMBANGUNAN

• PENDEKATAN
KLASTER
• WAKTU RESPON

SISTEM KELOLA

STRATEGI MENURUNKAN IRBI
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang

KELOLA

PEMBERDAYAAN

KURANGI


ALAM
NON ALAM
SOSIAL

KLASTER KESEHATAN

RESIKO

TINGKATKAN

KEBIJAKAN PEMERINTAH DALAM KLASTER
KEP KA BNPB NO 173 TH 2014

KESEHATAN
PENCARIAN DAN
PENYELAMATAN

EKONOMI

PEMULIHAN DINI


LOGISTIK

PENGUNGSIAN DAN
PERLINDUNGAN

SARANA DAN
PRASARANA
PENDIDIKAN

PENCARIAN
DAN
PENYELAMATAN

PENGUNGSIAN
DAN
PERLINDUNGAN
GIZI PENGUNGSI
LAYANAN KESEHATAN
HYGIENE SANITASI

TRUMA HEALING

MFR TIM SAR
KESEHATAN
KUALITAS BANTUAN MAKANAN
DAN KESEHATAN
LOGISTIK

SARANA DAN
PRASARANA

KUALITAS AIR
LISTRIK FASKES

PENGORGANISAIAN KLASTER DAN SUB KLASTER KESEHATAN
TUGAS KLASTER
KEP KA BNPB NO 173 TH 2014

1.PELAYANAN KESEHATAN


PELAKSANA SUB KLASTER

SUB KLASTER PELAYANAN
KESEHATAN

2.PENGENDALIAN PENYAKIT
3.PENYEHATAN LINGKUNGAN

SUB KLASTER PENGENDALIAN PENYAKIT
4.PENYIAPAN AIR BERSIH DAN SANITASI DAN PENYEHATAN LINGKUNGAN
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

S U B

K L A S T E R

L A Y A N A N

K E S E H A T A N

KEBIJAKAN
NASIONAL DAN
PENYIAPAN EMTs


PUSAT

NASIONAL
Pembinaan Klaster
Provinsi dan Penyiapan
EMTs NASIONAL di
Regional

Pelaksana Klaster
Kesehatan Regional

REGIONAL

UPT
VERTIKAL

KAPASITAS
PROVINSI

REGIONAL


S U B

K L A S T E R

KEBIJAKAN
EMERGENCY
PROVINSI, RECOVERY
DINI DAN
PENYIAPAN EMTs

L A Y A N A N

K E S E H A T A N

PROVINSI

PROVINSI

Pembinaan Klaster

Kabupaten / Kota
dan penyiapan
EMTs Provinsi

UPT
PROVINSI

KAPASITAS
PROVINSI

S U B

K L A S T E R

PRB, MITIGASI,
MANAGEMENT
EMERGENCY /
LOCAL EMERGENCY
COMMUNITY /


L A Y A N A N

K E S E H A T A N

KABUPATEN
/ KOTA

SPGDT / PSC

Pemeliharaan
Kapasitas Klaster
Kesehatan
Kabupaten / Kota

UPT
KABUPATEN /
KOTA

KAPASITAS
KABUPATEN /
KOTA

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.

PROVINSI

• EMTs
• RECOVERY DINI

NASIONAL

• EMTs
• REHAB REKON

JALUR PERKUATAN

JALUR PERMINTAAN

KAB/KOTA

• PRB
• SPGDT

PRE
HOSP.

PRB
V

AMB
SERV.

SPGDT

HOSP.

MAMPU MERESPON
PRE HOSPITAL

AMBULANCE
SERVICE

HOSPITAL

MAMPU MEMINTA TOLONG

TERSEDIA PERTOLONGAN YG
CEPAT, TEPAT, PARIPURNA

UNSUR TERPADU DALAM SPGDT
FIRST RESPONDER

PRE HOSPITAL
INTERNAL DISASTER PLAN

AMBULANCE
SERVICE

STANDARISASI

HOSPITAL

EXTERNAL DISASTER PLAN

POS UNGSI SEMENTARA

TRIAGE
RESUSITASI
PRE-HOSPITAL

TIM AMBULAN
EVAKUASI

TITIK
PENGUNGSIAN

- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN

HOSPITAL CARE

KLASTER
KESEHATAN

NOTIFY KEY PERSONS
INITIAL ALLERT

COLLECT INFORMATION

RESUSCITATION

MOBILIZATION OF RESOURCES

INVESTIGATION

ICU

TREATMENT

OT

INITIATE PREPARATION

TRIAGE

DOCUMENTATION

OPD
DECONTAMINATION

IN DOOR

DEATH
DISCHARGE
ARRIVAL OF PATIENT

MORTURY

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.

MATRIK DASAR KAPASITAS EMTs
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

KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGDT-B

EMTs KABUPATEN /
KOTA

KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs

KABUPATEN
/ KOTA

PROVINSI

PROVINSI

KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs

NASIONAL

PUSAT

EMT 1 mobile
EMT 1 fixed

PKM/KLINIK
RSUD/RS LAIN

KABUPATEN
/ KOTA

RSUD/RS LAIN

PROVINSI

EMT 2
EMT SPC

EMT 2
EMT SPC

EMT 2
EMT 3
EMT SPC

RSUP/RSUD
RS LAIN

PUSAT

EMT 1 mobile
EMT 1 fixed

PKM/KLINIK
RSUD/RS LAIN
EMT 2

KABUPATEN
/ KOTA

EMT SP Cells
TYPE 1 - MOBILE

TYPE 1 - FIXED

TYPE 2

SPECIALIST CELLS (SP Cells)

PRIMARY & EMERGENCY CARE
MOBILE OUTPATIENT CARE

PRIMARY & EMERGENCY CARE EMERGENCY CARE
OUTPATIENT CLINIC
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

Embedded specialist services only

Mobile team & equipment

Fixed team & equipment

Day time outpatient services
24 hour inpatient & surgical
services
Fixed team & equipment

No temporary clinical facility

Temporary clinical facility
provided
Deployment 14 days
minimum

Deployment 14 days minimum

Mobile or Fixed team & equipment

Temporary clinical facility provided No temporary clinical facility
Deployment 21 days minimum

Deployment 14 days minimum

EMT 2

RSUD/RS LAIN

EMT SP Cells

TYPE 2

PROVINSI

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
Fixed team & equipment

Embedded specialist services only

Temporary clinical facility provided

No temporary clinical facility

Deployment 21 days minimum

Deployment 14 days minimum

Mobile or Fixed team & equipment

EMT 2
EMT 3

RSUP/RSUD
RS LAIN

PUSAT

EMT SPC
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

Deployment 21 days minimum

Deployment 28 days minimum

Deployment 14 days minimum

TITIK
PENGUNGSIAN

POS UNGSI SEMENTARA
EMT 1 fix

EMT 1 fix

HOSPITAL CARE
EMT 2

TRIAGE
RESUSITASI

- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF

TIM AMBULAN
EVAKUASI

EMT 2
EMT 1 mob

SISTEM
RUJUKAN

EMT 3
PRE-HOSPITAL

RS-RS

PKM
PKM

RS-RS

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.
H + 1 dst EMTs SP Cells untk kelompok non bedah dan kesehatan masyarakat

HASIL YANG DIHARAPKAN
S U S U N R O A D M A P K A B / KOTA P R O V I N S I N A S I O N A L

MATRIK KAPASITAS
EMT
• TYPE 1 MOBILE
• TYPE 1 FIXED
• TYPE 2
• TYPE 3
• SPECIALIST CELLS

DISPARITAS
KAPASITAS PROV –
KAB/KOTA
• FASYANKES
• SDM NAKES
• GEOGRAFIS

KAPASITAS TIM – KOMPETENSI SDM – KELENGKAPAN ALAT