Anda di halaman 1dari 31

EXPERIENCE SHARING

EMERGENCY MEDICAL
SYSTEM INTERNATIONAL
QATAR

Wansu Z, EMT, S.Kep.


22 March 2015
OUTLINES

 Biodata
 Overview Qatar
 EMS Provider Qatar
 Photos

Seminar HIPGABI Semarang 2015


BIODATA

 Nama : Wansuzusino, EMT, S.Kep


 Pendidikan : Sarjana keperawatan
 Qualifikasi : EMT, Nurse
 Training : EMT basic, ACLS, ATLS, ILS, MIMMS,
OHS dll
 Experiences :
 OR Nurse 9 tahun ( Rumah Sakit)
 ER Nurse 3 tahun (PH & RS)
 Ambulance Nurse 3 tahun (PreHospital)
 Occupational Health Nurse 1 tahun (QP OHS)
 Sales marketing AlKes 2 tahun (Draeger)
.

Seminar HIPGABI Semarang 2015


OVERVIEW QATAR

• Country in Asia
• Qatar, officially the State of Qatar, is a
sovereign Arab country located in Southwest
Asia, occupying the small Qatar Peninsula on
the northeastern coast of the Arabian
Peninsula.
• Capital : Doha
• Dialing code : +974
• Currency : Qatari riyal
• Continent : Asia
• Population : 2.169 million (2013) World
Bank
• GDP per capita: 93,714.06 USD
(2013) World Bank

Seminar HIPGABI Semarang 2015


PROFILE PERAWAT INDONESIA DI QATAR

Tempat kerja:
• RS 10 orang
• OGP 55 orang S1 19 org

EMT 40
S2 2 org
orang Total
65
orang

QP
D3 44 org Paramedi
c 5 orang

Seminar HIPGABI Semarang 2015


CHALLENGES WORK OVERSEAS
• English
• Arabic
• Homesickness • Others
• Work pressure
• Others

CHALLENGES

• Local
culture
• Food
• Bachelor degree
EDUCATIONAL • Religion
• Translation SYSTEM
• Training
Seminar HIPGABI Semarang 2015
Certificate
BAGAIMANA BEKERJA DI LUAR NEGERI?

 Niat
 Pendidikan min. S1,
 License: SIM, STR
 Perdalam skill dan knowledge
 Kemampuan bahasa, min. B. Inggris
 Sertifikat-sertifikat pelatihan institusi
terakredetasi / appliasi ke LN
 Kursus-kursus pendukung
 Pilih agent PJTKI yg tepat
 Pelajari kebudayaan setempat

Seminar HIPGABI Semarang 2015


OVERVIEW EMS DI QATAR

Fasilitas Kesehatan di Qatar:


 Public health care
 Private Clinics
 Company Health Center
 Hospital

Public Health Center

Seminar HIPGABI Semarang 2015


AMBULANCE PROVIDER IN QATAR

•NATIONAL
HMC •GOVERNMENT

•NATIONAL
QRC •INTERNATIONAL
•DISASTER

•OGP
QP •NATIONAL

Seminar HIPGABI Semarang 2015


AMBULANCE SERVICES HMC

 Emergency Medical Services (EMS)  emergency and non


emergency transportation of patients.
 Rapid response vehicles and the Lifeflight helicopter service,
(Supreme Council of Health).
 In 2009, EMS vehicles responded to over 85,000 incidents
and the Lifeflight helicopter responded to 660 calls requiring
critical care paramedic capability, transporting 289 patients
by air.
 EMS staf f members provided 34,000 man hours of emergency
cover for 555 special events across Qatar.
 In 2013, HMC met ahead of schedule and exceeded 2016
ambulance response targets (NHS 1 .5). Almost 90% of
ambulance calls were responded to within 10 minutes, 98% in
Doha within 15 minutes, 92% outside of Doha within 15
minutes, and 99% within 20HIPGABI
Seminar minutes.
Semarang 2015
TINGKATAN PENYEDIA EMS ON SCENE

Paramedic
Adv. EMT

EMT

EMR

Seminar HIPGABI Semarang 2015


TINGKATAN PENYEDIA EMS LAPANGAN

• to initiate immediate lifesaving care to critical patients who access


the emergency medical system
• under medical oversight

EMR • perform basic interventions with minimal equipment


• Emergency Medical Responder training program

• to provide basic emergency medical care and transportation for


critical and emergent patients
• basic equipment on an ambulance.
• link from the scene to the emergency health care system.
EMT • basic knowledge and skills necessary to provide patient care and
transportation

Seminar HIPGABI Semarang 2015


TINGKATAN PENYEDIA EMS LAPANGAN

• basic & limited advanced emergency medical care for critical and
emergent patients
• Basic knowledge and skills
• interventions with the basic and advanced equipment
Adv. EMT • provide basic and limited advanced emergency

•advanced emergency medical care for critical and emergent


patients
•complex knowledge and skills
•interventions with the basic and advanced equipment
Paramedic
•provide advanced emergency
•comprehensive EMS response, under medical oversight

Seminar HIPGABI Semarang 2015 Source: www.nremt.org


FRAMEWORK EMS PERSONNEL

1. Educated (has been trained to do the skill or


role), AND

2. Certified (has demonstrated competence in the


skill or role), AND

3. Licensed (has legal authority issued by the State


to perform the skill or role), AND

4. Credentialed (has been authorized by medical


director to perform the skill or role).
Seminar HIPGABI Semarang 2015
THE EMT BASIC

 Functions in uncommon situations;


 Has a basic understanding of stress response and
methods to ensure personal well-being;
 Has an understanding of body substance isolation;
 Understands basic medical-legal principles;
 Functions within the scope of care as defined by state,
regional and local regulatory agencies;
 Complies with regulations on the handling of the
deceased, notifies authorities and arranges for
protection of property and evidence at the scene

Seminar HIPGABI Semarang 2015


ALUR PELAYANAN EMERGENCY QATAR

Aktiviasi Responder Rujukan

•Dispatcher
•Ambulance/s

•Public •Police • PHC


999 • Company
•Institusi •Fire brigade clinic
•Others •Security • Hospital
•Others
authority

ERT 8 mins Tentative

Seminar HIPGABI Semarang 2015


EMERGENCY RESPONSE MANAGEMENT

Back-up Medical Referring to


Ambulance /
Paramedic / intervention Medical
EMT on scene facilities
Life flight EMS

Seminar HIPGABI Semarang 2015


EMERGENCY RESPONSE MANAGEMENT

Ambulance 1 :
Personnel 2 EMT/amb. Nurse. (ILS, BTLS, EMT-NR)
basic stabilization equipment, trauma care bag, basic airway
adjunct, AED

Advanced Life Support :


Paramedic Critical Care ( Skills: ACLS, ATLS, Adv.
Airway management)
Responder Vehicle atau Life Flight

Hospital (HGH) , Medical Doctor On standby.


ECG Telemetry System

Seminar HIPGABI Semarang 2015


PERLENGKAPAN AMBULANCES NURSE

• Uniform
• Personnel med
equipment
• PPE
• Radio
• Gas detector, BA (OGP)
Seminar HIPGABI Semarang 2015
PERLENGKAPAN AMBULANCES
• Trauma bag
• Medical bag
• Airway management
bag
• AED/semi AED
• Stretcher
• Lifting equipment
• Radio
• Dll.

Seminar HIPGABI Semarang 2015


TRAUMA MANAGEMENT

Seminar HIPGABI Semarang 2015


AIRWAY MANAGEMENT

 Laryngoscope
 Oxygen cylinder
 Ambubag & Mask
 Gell
 LMA – laryngeal airway
 ETT
 OTT
 OPA – oropharyngeal airway
 NPA – Nasopharyngeal airway

Seminar HIPGABI Semarang 2015


DRUGS

Obat-obatan :
• Adrenalin
• Lidocaine
• Amiodarone
• Magnesium
Sulphate
• Calcium
• Sodium
bicarbonate
• Fluids

Seminar HIPGABI Semarang 2015


INSIDE EMS LIFE FLIGHT

Seminar HIPGABI Semarang 2015


TRAINING BERKELANJUTAN

EMT Program
 NR Lisensi
 ITLS
 ILS
 ACLS
 MIMMS
 NR EMT
 EMT
 Dll.
GRATIS - COMPANY
Paramedic Program

Seminar HIPGABI Semarang 2015


AKTIVITAS EMS HMC

Seminar HIPGABI Semarang 2015


QP MEDIC & QP PARAMEDIC

Seminar HIPGABI Semarang 2015


MASS CASUALTIES INCIDENT DRILL

Seminar HIPGABI Semarang 2015


KESIMPULAN

 Sarana EMS
Kualitas Dispatcher, Training personnel berkelanjutan,
Ambulance dengan perlengkapannya, fasilitas RS rujukan
 Prasarana
Jalan raya, SOP, dukungan instansi lain (Polisi, Fire fighter,
security)
 Masyarakat luas
 Pemerintah ; Anggaran, Regulasi dan kebijakan

Seminar HIPGABI Semarang 2015


Seminar HIPGABI Semarang 2015
SOURCE

 HMC Emergency Medical Services www.hamad.qa


 Qatar Petroleum EMS
 www.nremt.org
 Pictures from https://www.google.co.id /
 http://www.ferno.com.au/products/emergency -and-
rescue/immobilisation/cervical -collars
 http://www.hamad.qa/en/images/HMC_AR_English_2009_10
.pdf
 The National Highway Traffic Safety Administration, DOT, US
 European Resuscitation Council

Seminar HIPGABI Semarang 2015