files13095EMT KONSEP BALIKPAPAN 2016 hasil pertemuan
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.
KECENDERUNGAN KEJADIAN
BENCANA / KEDARURATAN MEDIS
K
A
Y
N
A
B
MAKIN
L
A
I
S
O
S
DAN
M
A
L
A
ON
N
E
K
AR
E
H
S
A
E
S
G
U
R
A
E
B
UNI
D
H
A
T
RIN
E
M
E
P
I
L
S
A
A
M
S
I
I
T
N
P
O
MO
U
L
H AR M
E
B
T
AKA
R
A
Y
S
N
A
A
M
H
A
T
N
I
ER
M
E
P
M
I SP
D
A
J
N
E
M
BELUM
AL
M
I
T
P
O
UM
L
E
B
B
R
UPAYA P
LABORATORIUM BENCANA
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang
V
R≈Hx
C
KESIAP
SIAGAAN
MITIGASI
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
HA
ZA
RD
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang
PEMBERDAYAAN
KURANGI
RESIKO
ITY
L
I
B
A
R
E
N
L
U
V
KELOLA
V
R≈Hx
C
ALAM
NON ALAM
SOSIAL
KLASTER KESEHATAN
TINGKATKAN
CAPACIT
Y
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
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
SUB KLASTER PENGENDALIAN
3.PENYEHATAN LINGKUNGAN
PENYAKIT DAN PENYEHATAN
4.PENYIAPAN AIR BERSIH DAN SANITASI LINGKUNGAN
YANG BERKUALITAS
5.PELAYANAN KESEHATAN GIZI
6.PENYIAPAN KESEHATAN REPRODUKSI
DALAM SITUASI BENCANA
SUB KLASTER PELAYANAN GIZI
7.PENANGANAN KESEHATAN JIWA
8.PENATALAKSANAAN KORBAN MATI
SUB KLASTER KESEHATAN JIWA
SUB KLASTER DVI
SUB KLASTER KIA DAN REPRODUKSI
SUB KLASTER PELAYANAN KESEHATAN
POS
POS UNGSI
UNGSI SEMENTARA
SEMENTARA
IIAANN
S
S
NNGG
U
GGU
N
N
PPEE
EEKK
SSTTR
RAAK
KSSI
I
TRIAGE
RESUSITASI
TIM
TIM AMBULAN
AMBULAN
EVAKUASI
EVAKUASI
TITIK
PENGUNGSIAN
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM RUJUKAN
DAERAH BENCANA
PRE-HOSPITAL
HOSPITAL CARE
KLASTER KESEHATAN NASIONAL
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
PUSAT
NASIONAL
KEBIJAKAN NASIONAL DAN PENYIAPAN EMTs
Pembinaan Klaster Provinsi dan
Penyiapan EMTs NASIONAL di Regional
REGIONAL
REGIONAL
KAPASITA
UPT
Pelaksana Klaster Kesehatan Regional
S
VERTIKAL
PROVINSI
KLASTER KESEHATAN PROVINSI
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 EMERGENCY PROVINSI, RECOVERY DINI DAN PENYIAPAN EMTs
PROVINSI
PROVINSI
KAPASITA
UPT
Pembinaan Klaster Kabupaten / Kota dan penyiapan EMTs S
Provinsi
PROVINSI
PROVINSI
KLASTER KESEHATAN KABUPATEN / KOTA
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
PRB, MITIGASI, MANAGEMENT EMERGENCY
/ LOCAL EMERGENCY
KABUPATEN
COMMUNITY / SPGDT
/ PSC
/ KOTA
UPT
Pemeliharaan Kapasitas
Klaster Kesehatan
KABUPATEN
/ KOTA
KAPASITAS
Kabupaten
/ Kota
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
KABUPATEN / KOTA
PRE
PRE
HOSP.
HOSP.
PRB
PRB
V
H
AMB
AMB
SERV.
SERV.
SPGDT
SPGDT
HOSP.
HOSP.
E
SAV
HOSPITAL
N IT
MU
AMBULANCE
SERVICE
M
CO
PRE HOSPITAL
MAMPU MERESPON
Y
MAMPU MEMINTA TOLONG
TERSEDIA PERTOLONGAN YG
CEPAT, TEPAT, PARIPURNA
UNSUR TERPADU DALAM SPGDT
FIRST RESPONDER
PSC
PRE HOSPITAL
PRE HOSPITAL
AMBULANCE
AMBULANCE
SERVICE
SERVICE
STANDARISASI
INTERNAL DISASTER PLAN
HOSPITAL
HOSPITAL
EXTERNAL DISASTER PLAN
SUB KLASTER PELAYANAN KESEHATAN
POS
POS UNGSI
UNGSI SEMENTARA
SEMENTARA
IIAANN
S
S
NNGG
U
GGU
N
N
PPEE
EEKK
SSTTR
RAAK
KSSI
I
TRIAGE
RESUSITASI
PRE-HOSPITAL
TIM
TIM AMBULAN
AMBULAN
EVAKUASI
EVAKUASI
TITIK
PENGUNGSIAN
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
HOSPITAL CARE
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN
EMTs
EMTs
EEKK
SSTTR
RAAK
KSSI
I
TRIAGE
RESUSITASI
DAERAH BENCANA
PRE-HOSPITAL
EVAKUASI
EVAKUASI
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
HOSPITAL CARE
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN
EMTs
EMTs
EEKK
SSTTR
RAAK
KSSI
I
DAERAH BENCANA
TRIAGE
RESUSITASI
TRIAGE
RESUSITASI
TRIAGE
RESUSITASI
PRE-HOSPITAL
EVAKUASI
EVAKUASI
- PELAYANAN
GAWAT
DARURAT
- PELAYANAN
- PERAWATAN
GAWAT DARURAT
DEVINITIF
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
HOSPITAL CARE
KLASTER
KESEHATAN
NOTIFY KEY PERSONS
RESUSCITATION
INITIAL ALLERT
COLLECT INFORMATION
MOBILIZATION OF RESOURCES
INVESTIGATION
ICU
TREATMENT
OT
INITIATE PREPARATION
TRIAGE
DOCUMENTATION
OPD
DECONTAMINATION
IN DOOR
DEATH
DISCHARGE
ARRIVAL OF PATIENT
MORTURY
EMTs
N AT I O N A L
SPGDT
K A B / KOTA
EMTs
PROVINSI
siapa………………..
bagaimana ……...
kapan……………….
EMTs
N AT I O N A L
S P G D T- B
EMTs
PROVINSI
EMTs
K A B / KO TA
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.
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGDT-B
EMTs KABUPATEN /
KOTA
KABUPATEN
/ KOTA
KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs
PROVINSI
KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs
PUSAT
PROVINSI
NASIONAL
MATRIK KAPASITAS
EMT
• TYPE 1 MOBILE
• TYPE 1 FIXED
• TYPE 2
• TYPE 3
• SPECIALIST CELLS
DISPARITAS
KAPASITAS PROV –
KAB/KOTA
• FASYANKES
• SDM NAKES
• GEOGRAFIS
STANDARISASI
KAPASITAS
MINIMAL
MATRIK DASAR KAPASITAS EMTs
TYPE 1 - MOBILE
TYPE 1 - FIXED
TYPE 2
TYPE 3
SPECIALIST CELLS
PRIMARY & EMERGENCY
PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT CARE OUTPATIENT CLINIC
CARE
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
Embedded specialist
services 24 hour inpatient services only
& surgical services
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
TYPE 1 - MOBILE
TYPE 1 - FIXED
PRIMARY & EMERGENCY
PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT CARE OUTPATIENT CLINIC
CARE
Able to treat minimum per
day: 50 outpatients
Able to treat minimum per
day: 100 outpatients
KABUPATEN
/ KOTA
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGD-B
EMTs KABUPATEN /
KOTA
Day time services only
Day time services only
Mobile team & equipment
Fixed team & equipment
No temporary clinical
facility
Temporary clinical facility
provided
Deployment 14 days
minimum
Deployment 14 days
minimum
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?
TYPE 2
EMERGENCY CARE
OUTPATIENT CLINIC & INPATIENT
SURGICAL TRAUMA CARE FACILITY
Able to treat minimum per day:
100 outpatients
20 inpatients
7 major surgical procedures
15 minor surgical procedures
PROVINSI
KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs
PROVINSI
Day time outpatient services
24 hour inpatient & surgical services
Fixed team & equipment
Temporary clinical facility provided
Deployment 21 days minimum
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?
TYPE 3
SPECIALIST CELLS
EMERGENCY CARE
OUTPATIENT CLINIC &
INPATIENT INTENSIVE &
REFERRAL CARE FACILITY
SPECIALIST CARE TEAMS
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
Embedded specialist
services 24 hour inpatient services only
& surgical services
Fixed team & equipment
Mobile or Fixed team &
equipment
Temporary clinical facility
provided
No temporary clinical
facility
Deployment 28 days
minimum
Deployment 14 days
minimum
PUSAT
KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs
NASIONAL
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?
HASIL YANG DIHARAPKAN
STANDART MINIMAL EMTs
KOMPOSISI SDM NAKES
DIGUNAKAN UNTUK MENILAI KAPASITAS
MENENTUKAN PROGRAM PEMBINAAN
TITIK
PENGUNGSIAN
POS
POSUNGSI
UNGSISEMENTARA
SEMENTARA
N
IAIAN
S
S
NNGG
U
U
NNGG
E
PPE
EMT 1 fix
EMT 1 fix
HOSPITAL CARE
EEKK
SSTTR
RAAK
KSSII
EMT 2
TRIAGE
RESUSITASI
TIM
TIMAMBULAN
AMBULAN
EVAKUASI
EVAKUASI
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
EMT 2
EMT 1 mob
SISTEM
RUJUKAN
EMT 3
PRE-HOSPITAL
PKM
RS-RS
SELESAI
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.
KECENDERUNGAN KEJADIAN
BENCANA / KEDARURATAN MEDIS
K
A
Y
N
A
B
MAKIN
L
A
I
S
O
S
DAN
M
A
L
A
ON
N
E
K
AR
E
H
S
A
E
S
G
U
R
A
E
B
UNI
D
H
A
T
RIN
E
M
E
P
I
L
S
A
A
M
S
I
I
T
N
P
O
MO
U
L
H AR M
E
B
T
AKA
R
A
Y
S
N
A
A
M
H
A
T
N
I
ER
M
E
P
M
I SP
D
A
J
N
E
M
BELUM
AL
M
I
T
P
O
UM
L
E
B
B
R
UPAYA P
LABORATORIUM BENCANA
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang
V
R≈Hx
C
KESIAP
SIAGAAN
MITIGASI
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
HA
ZA
RD
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang
PEMBERDAYAAN
KURANGI
RESIKO
ITY
L
I
B
A
R
E
N
L
U
V
KELOLA
V
R≈Hx
C
ALAM
NON ALAM
SOSIAL
KLASTER KESEHATAN
TINGKATKAN
CAPACIT
Y
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
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
SUB KLASTER PENGENDALIAN
3.PENYEHATAN LINGKUNGAN
PENYAKIT DAN PENYEHATAN
4.PENYIAPAN AIR BERSIH DAN SANITASI LINGKUNGAN
YANG BERKUALITAS
5.PELAYANAN KESEHATAN GIZI
6.PENYIAPAN KESEHATAN REPRODUKSI
DALAM SITUASI BENCANA
SUB KLASTER PELAYANAN GIZI
7.PENANGANAN KESEHATAN JIWA
8.PENATALAKSANAAN KORBAN MATI
SUB KLASTER KESEHATAN JIWA
SUB KLASTER DVI
SUB KLASTER KIA DAN REPRODUKSI
SUB KLASTER PELAYANAN KESEHATAN
POS
POS UNGSI
UNGSI SEMENTARA
SEMENTARA
IIAANN
S
S
NNGG
U
GGU
N
N
PPEE
EEKK
SSTTR
RAAK
KSSI
I
TRIAGE
RESUSITASI
TIM
TIM AMBULAN
AMBULAN
EVAKUASI
EVAKUASI
TITIK
PENGUNGSIAN
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM RUJUKAN
DAERAH BENCANA
PRE-HOSPITAL
HOSPITAL CARE
KLASTER KESEHATAN NASIONAL
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
PUSAT
NASIONAL
KEBIJAKAN NASIONAL DAN PENYIAPAN EMTs
Pembinaan Klaster Provinsi dan
Penyiapan EMTs NASIONAL di Regional
REGIONAL
REGIONAL
KAPASITA
UPT
Pelaksana Klaster Kesehatan Regional
S
VERTIKAL
PROVINSI
KLASTER KESEHATAN PROVINSI
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 EMERGENCY PROVINSI, RECOVERY DINI DAN PENYIAPAN EMTs
PROVINSI
PROVINSI
KAPASITA
UPT
Pembinaan Klaster Kabupaten / Kota dan penyiapan EMTs S
Provinsi
PROVINSI
PROVINSI
KLASTER KESEHATAN KABUPATEN / KOTA
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
PRB, MITIGASI, MANAGEMENT EMERGENCY
/ LOCAL EMERGENCY
KABUPATEN
COMMUNITY / SPGDT
/ PSC
/ KOTA
UPT
Pemeliharaan Kapasitas
Klaster Kesehatan
KABUPATEN
/ KOTA
KAPASITAS
Kabupaten
/ Kota
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
KABUPATEN / KOTA
PRE
PRE
HOSP.
HOSP.
PRB
PRB
V
H
AMB
AMB
SERV.
SERV.
SPGDT
SPGDT
HOSP.
HOSP.
E
SAV
HOSPITAL
N IT
MU
AMBULANCE
SERVICE
M
CO
PRE HOSPITAL
MAMPU MERESPON
Y
MAMPU MEMINTA TOLONG
TERSEDIA PERTOLONGAN YG
CEPAT, TEPAT, PARIPURNA
UNSUR TERPADU DALAM SPGDT
FIRST RESPONDER
PSC
PRE HOSPITAL
PRE HOSPITAL
AMBULANCE
AMBULANCE
SERVICE
SERVICE
STANDARISASI
INTERNAL DISASTER PLAN
HOSPITAL
HOSPITAL
EXTERNAL DISASTER PLAN
SUB KLASTER PELAYANAN KESEHATAN
POS
POS UNGSI
UNGSI SEMENTARA
SEMENTARA
IIAANN
S
S
NNGG
U
GGU
N
N
PPEE
EEKK
SSTTR
RAAK
KSSI
I
TRIAGE
RESUSITASI
PRE-HOSPITAL
TIM
TIM AMBULAN
AMBULAN
EVAKUASI
EVAKUASI
TITIK
PENGUNGSIAN
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
HOSPITAL CARE
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN
EMTs
EMTs
EEKK
SSTTR
RAAK
KSSI
I
TRIAGE
RESUSITASI
DAERAH BENCANA
PRE-HOSPITAL
EVAKUASI
EVAKUASI
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
HOSPITAL CARE
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN
EMTs
EMTs
EEKK
SSTTR
RAAK
KSSI
I
DAERAH BENCANA
TRIAGE
RESUSITASI
TRIAGE
RESUSITASI
TRIAGE
RESUSITASI
PRE-HOSPITAL
EVAKUASI
EVAKUASI
- PELAYANAN
GAWAT
DARURAT
- PELAYANAN
- PERAWATAN
GAWAT DARURAT
DEVINITIF
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
HOSPITAL CARE
KLASTER
KESEHATAN
NOTIFY KEY PERSONS
RESUSCITATION
INITIAL ALLERT
COLLECT INFORMATION
MOBILIZATION OF RESOURCES
INVESTIGATION
ICU
TREATMENT
OT
INITIATE PREPARATION
TRIAGE
DOCUMENTATION
OPD
DECONTAMINATION
IN DOOR
DEATH
DISCHARGE
ARRIVAL OF PATIENT
MORTURY
EMTs
N AT I O N A L
SPGDT
K A B / KOTA
EMTs
PROVINSI
siapa………………..
bagaimana ……...
kapan……………….
EMTs
N AT I O N A L
S P G D T- B
EMTs
PROVINSI
EMTs
K A B / KO TA
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.
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGDT-B
EMTs KABUPATEN /
KOTA
KABUPATEN
/ KOTA
KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs
PROVINSI
KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs
PUSAT
PROVINSI
NASIONAL
MATRIK KAPASITAS
EMT
• TYPE 1 MOBILE
• TYPE 1 FIXED
• TYPE 2
• TYPE 3
• SPECIALIST CELLS
DISPARITAS
KAPASITAS PROV –
KAB/KOTA
• FASYANKES
• SDM NAKES
• GEOGRAFIS
STANDARISASI
KAPASITAS
MINIMAL
MATRIK DASAR KAPASITAS EMTs
TYPE 1 - MOBILE
TYPE 1 - FIXED
TYPE 2
TYPE 3
SPECIALIST CELLS
PRIMARY & EMERGENCY
PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT CARE OUTPATIENT CLINIC
CARE
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
Embedded specialist
services 24 hour inpatient services only
& surgical services
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
TYPE 1 - MOBILE
TYPE 1 - FIXED
PRIMARY & EMERGENCY
PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT CARE OUTPATIENT CLINIC
CARE
Able to treat minimum per
day: 50 outpatients
Able to treat minimum per
day: 100 outpatients
KABUPATEN
/ KOTA
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGD-B
EMTs KABUPATEN /
KOTA
Day time services only
Day time services only
Mobile team & equipment
Fixed team & equipment
No temporary clinical
facility
Temporary clinical facility
provided
Deployment 14 days
minimum
Deployment 14 days
minimum
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?
TYPE 2
EMERGENCY CARE
OUTPATIENT CLINIC & INPATIENT
SURGICAL TRAUMA CARE FACILITY
Able to treat minimum per day:
100 outpatients
20 inpatients
7 major surgical procedures
15 minor surgical procedures
PROVINSI
KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs
PROVINSI
Day time outpatient services
24 hour inpatient & surgical services
Fixed team & equipment
Temporary clinical facility provided
Deployment 21 days minimum
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?
TYPE 3
SPECIALIST CELLS
EMERGENCY CARE
OUTPATIENT CLINIC &
INPATIENT INTENSIVE &
REFERRAL CARE FACILITY
SPECIALIST CARE TEAMS
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
Embedded specialist
services 24 hour inpatient services only
& surgical services
Fixed team & equipment
Mobile or Fixed team &
equipment
Temporary clinical facility
provided
No temporary clinical
facility
Deployment 28 days
minimum
Deployment 14 days
minimum
PUSAT
KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs
NASIONAL
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?
HASIL YANG DIHARAPKAN
STANDART MINIMAL EMTs
KOMPOSISI SDM NAKES
DIGUNAKAN UNTUK MENILAI KAPASITAS
MENENTUKAN PROGRAM PEMBINAAN
TITIK
PENGUNGSIAN
POS
POSUNGSI
UNGSISEMENTARA
SEMENTARA
N
IAIAN
S
S
NNGG
U
U
NNGG
E
PPE
EMT 1 fix
EMT 1 fix
HOSPITAL CARE
EEKK
SSTTR
RAAK
KSSII
EMT 2
TRIAGE
RESUSITASI
TIM
TIMAMBULAN
AMBULAN
EVAKUASI
EVAKUASI
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
EMT 2
EMT 1 mob
SISTEM
RUJUKAN
EMT 3
PRE-HOSPITAL
PKM
RS-RS
SELESAI