Peran UGD dalam

menghadapi Bencana di
Rumah Sakit

Aryono D.Pusponegoro
Yayasan AGD 118
K H Achmad Dahlan 1869 - 1923
Khotbah - Surat Al- Setelah Berdirinya
Maun Muhamadiyah -
Utk - 1917 Tim ke
Dimengert, dihafal & Gn Kelud :
Diamalkan Carilah Para Santri +
Orang
Miskin, Yatim, Terlant Logistik dikawal
ar & Tentara Belanda
Menderita, Dibawa Management
pulang dan Rawat Support &
Penanggulangan
Gawat Darurat Pra RS Dokter2 Jawa
& UGD Medical Support
Tim
Penanggulangan
Bencana Pertama di
Indonesia
 Gadar Pra RS
UGD PKO (Penolong
Kecemasan Oemoem)
Tim Penanggulangan Bencana
Management Support &
Medical Support
UGD hrs Mampu :
1. Akses - Mudah di jangkau
2. Menghilangkan Rasa Cemas
3. Mencegah Kematian
4. Menanggulangi Bencana & Korban
Massal
5. Mengirim Tim Penanggulangan
Bencana & Korban Massal
6. Management Support &
Medical Support
UGD & BENCANA

Tanda arah ke UGD
Rancang Bangun UGD
Cara Kerja (SOP)
Kualitas SDM - Crisis management
Bencana & Korban Massal
UnAcceptable Death :
- Stroke
- Jantung
- Trauma
- Bencana & Korban Massal
 NAMA ???
PKO Kecemasan,
ER Emergency
A & E Accident & Emergency
UGD, URD, IGD, IRD
UGD ? URD ? IGD ? IRD ?

UGD Tipe I Puskesmas

UGD Tipe II RS TIPE C
UGD Tipe III RS Tipe B
UGD Tipe IV RS Tipe B/ A
Pendidikan

7
 SARANA KESEHATAN & EXPERTISE KE PASIEN

CRASH CART CRASH CART

Daerah
BInfekIsiInAY
Infeksi

TROLLEY NURSE
& STATION
DECONTAMINATION AREA TRIAGE KELUAR
 Trolley
&
Decontamination
Area

Daerah
NURSE KELUAR TOILET
TRIAGE STATION
Infeksi
Lounge
Personnel

BAY BAY
KM
PERIKSA
BAY BAY False KM
Klinik PERIKSA
Emergency
24jam
BAY
(Jangka KM
BAY PERIKSA
Panjang)
KM
BAY BAY PERIKSA

KM
PERIKSA

PASIEN KE SARANA KESEHATAN & EXPERTISE

 Kualifikasi Personil UGD :
Dokter
1. Dr SpEM
2. Dr Umum + - ATLS
- ACLS, ANLS, APLS
- Crisis Mangaement
- Ketrampilan Dasar
Bedah utk Dr Umum
- EMSB (Early
Management of
Severe Burn)
- MEDEVAC
- Disaster management
3. Dr Spesialis / Residency Service (24/7)
 Kualifikasi Personil UGD :
Perawat
BT & CLS - ATCN (Advanced
Trauma Care for
Nurses)
- ACLS for Nurses
- Crisis Management
AECN (Advanced
Emergency Care for
Nurses)
- MEDEVAC
- Disaster Management
Otak Dokter & Perawat - SAMA
 RUJUKAN ?
1. Rujukan Ilmu (Radio Medik, Telp,
Fax, Email, HP,
Media Sosial).
2. Rujukan Spesialis
3. Rujukan Pasien
1). Darat
2). Air / Laut
3). Udara - MAF / AMA
Heli Chevron, Vico, BP
dll
13
Hospital Disaster Plan :
1. Hospital Structural Collapse. COOP
(Continuing Of Operations Planning
2. Number of Pts >>> ER / ED/ A&E
Capacity Functional Collapse.
SURGE CAPACITY & CAPABILITY
3. Urban Disaster .
4. Rural Disaster .
5. Regional Disaster.
6. National Disaster.
7. Internasional Disaster.
SURGE CAPACITY
In The Hospital Outside The Hospital
Policlinic Stadium
Conference Room Hotel
Auditorium Mosque
Corridors Church
Mushola / Capella Convention Center
Parking Area
Parking Building

Water & Toilets

Tents ???
SURGE CAPABILITY
For Special Needs Patients
(D.M, Stroke, Jantung, Hipertensi,
Ibu Hamil / Melahirkan, Bayi / Bayi
Baru Lahir Dll)
MOU Farmasi, Vendors
makanan, alkes dll
Incident Command System (ICS)
MANAGEMENT SUPPORT
INCIDENT COMMANDER
1. a/. OPERASIONAL, b/. LOGISTIK,
c/. KEUANGAN, d/. PLANNING
2. Data Collection, Analysis, Decision,
Evaluation
No: of Patient, Disease Infectious
Refugees / Displaced Persons
Logistics (Medical & Non Medical)
Personel
Local & International Medical Teams
Coordination
COMPLAINS !!!
 Criteria of Dispatch /
Deployment :
1. Hospitals Structural Collapse
2. Hospitals Functional Collapse
3. Medical Service Below National
Standard Medical, Surgery,
Anesthesia, OBGYN, Pediatric
4. Political
TRIAGE
I. True Emergency
II. False Emergency

I. True Emergency
II. False Emergency Jangka Panjang
Jangka Pendek
Klinik 24 Jam
III. Infeksi
TRIAGE Sehari-hari
1. Immediate (USA)
P1 (UK) U1 (Perancis) T1 (NATO)
2. Urgent (USA)
P2 (UK) U2 (Perancis) T2 (NATO)
3. Delayed (USA)
P3 (UK) U3 (Perancis) T3 (NATO)
4. Dead (USA)
P4 (UK) U4 (Perancis T4 (NATO)
INDONESIA ???
1.SEGERA,
2.SECEPATNYA,
3.DPT DI TUNDA,
4.MATI 20
Bencana/Korban Massal
1. MERAH
2. KUNING
3. HIJAU LEBIH MUDAH DI LIHAT DLM
4. HITAM SEGALA CUAC CAHAYA
Simple Triage & Rapid Treatment
START

1. Mettag,
2. Dpt DILIPAT

WARNA-warna di Lantai Utk Bencana /

Korban Massal
21
TERIMA KASIH