PENGANTAR DISKUSI KONSEP EMTS 2016
EMERGENCY MEDICAL
TEAMS (EMTs)
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.
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
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
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
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
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
PEMERINTAH
DUNIA USAHA
MASYARAKAT
SIAPA ?
PETA HAZARD
PETA KERENTANAN
EMTs – 1 mobile
EMTs – 1 fixed
EMTs – 2
EMTs – 3
EMTs – SP Cells
DIMANA?
KAPASITAS?
KOORDINASI
KOLABORASI
INTEGRASI
BAGAIMANA?
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
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
TEAMS (EMTs)
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.
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
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
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
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
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
PEMERINTAH
DUNIA USAHA
MASYARAKAT
SIAPA ?
PETA HAZARD
PETA KERENTANAN
EMTs – 1 mobile
EMTs – 1 fixed
EMTs – 2
EMTs – 3
EMTs – SP Cells
DIMANA?
KAPASITAS?
KOORDINASI
KOLABORASI
INTEGRASI
BAGAIMANA?
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
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