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PREPAREDNESS

Rahim, M. Rum
Hospital
Preparedness for
Emergencies &
Disaster
Basic Concepts

Seeks to minimize the bad


effects of a hazard through
effective precautionary
actions to ensure timely,
appropriate, & efficient
delivery of assistance.
DISASTER MANAGEMENT CYCLE
Disaster Impact

Response
Preparedness

Mitigation Recovery

Development Prevention
Disasters: The Public Health Impact

Health Care Infrastructure


Disasters may destroy hospitals
Disasters may disrupt routine health
services
Disasters may disrupt preventive activities
Consequence: long-term increases in
morbidity and mortality
Disaster Management Activity
of Hospital
Preparedness
–Disaster plan, procedure,
& equipment
–Health personnel training
–Regular drills
Disaster Management Team

 Team
– Head & Chain of command
• Head: Directur of Medic
• Members:
– Adm. Medic
– Adm. Hospital
– Logistic
– Dept. of Emergency
– Dept. of Surgical
– Nursing
Disaster Management Team


– Role  Head: Director of Medic
• To Empower post of command
• Coordinate to evaquate of patient.
• Coordinating with police, agent of
transportation, supplier, etc
• Fasilitator of visiting VIP
Disaster Management Team

Group of Remedial

Group of Supporting

Group of PR &
Communication
Disaster Management Team

Group of Remedial
– Team of Triage
– Team of Surgical
– Team of Anesthetic
– Team of Pediatric
– Team of ICU
Disaster Management Team

Group of Supporting
– Nursing
– Bank of blood
– CP & Microbiology
– Radio Diagnostic
– Pharmacy
– Medical Record
– Etc.
Disaster Management Team

Group of PR &
Communication
– PR
– General information
– Administration
– Safety
Stand by action

 If any information about maybe of disaster,


Director of Medic to do “Immediate
Action” :
 Hospital in the situation “Waspada” or
“Stand By”
All activity to coordinate by Director
of Medic
Action Plan
 Contingency action plan  by CEO RS
 Saat dinyatakan Rencana Kontinjensi diberlakukan:
– Direktur Medis:
• Menginformasikan & menginstruksikan kpd semua unit terkait.
• Merelokasi pasien yg sedang dirawat
• Menginstruksikan tim-tim pendukung lainnya
• Menginstruksikan farmasi untuk penyediaan obat2 & alkes yg
diperlukan
• Mengaktifkan pelaksanaan Dukungan Medis & Dukungan
Manajemen.
Direktur Medis:

 Menginformasikan & menginstruksikan kepada


semua unit terkait, bahwa rencana kontijensi
diberlakukan.
Director of Medic:

To relocate patient from indoor hospital


Director of
Medic
To instruct teams of support
Director of Medic:

 To instruct pharmacy for ready for drug and health


apparatus.
Director of Medic:

 To active action Medical Support &


Management Support.
Medical Support
Medical Support:
– Triage 
• Triage consists of rapidly classifying the injured on the
basis of severity of their injuries, the likelihood of their
survival with prompt medical intervention.
– Life Saving First Aid
– ALS
– Specialist Procedure
Management Support
Management Support:
– Command & Control
– Off Duty Staff
– Logistics
– Security Parking & Access (Traffic)
– Decontamination Area
– Patient Data & Patient Allocation
– Management of the Deceased
– Communication (in & outside Hospital)
– Mass Media & Relatives
Management Support
Management Support
– Security Parking & Access (Traffic)
Management Support
Management Support
– Management of the Deceased
Central Telephone

 Operator segera menghubungi:


– Kepala Bagian Pemeliharaan Umum
– Kepala Dapur
– Kepala Keamanan
– Kepala Laundry, Housekeeping & Sterilisasi
– Kepala Farmasi
– Kepala Gudang
– Dokter & konsultan yg bertugas
– dll
Pengakhiran Rencana

 Pernyataan pengakhiran dari Rencana


dilakukan oleh CEO
 Setelah diakhiri, kegiatan RS kembali ke
keadaan normal
 Direktur medis mengadakan pertemuan dgn
seluruh tim untuk mengadakan evaluasi
guna perbaikan
Training

 Training plan  step & continue


 Training contain all aspect about planning
and role personnel of hospital
Lampiran-lampiran

 Lampiran A  Penanganan Bencana Eksternal


– Prosedur pengiriman ambulans
– Prosedur pengiriman tim lapangan
– Prosedur penerimaan korban
– Prosedur dekontaminasi
– Prosedur penanganan jenazah
 Lampiran B  Penanganan Bencana Internal
 Lampiran C
Lampiran-lampiran
 Lampiran B  Penanganan Bencana Internal
– Prosedur penanganan kebakaran
– Prosedur penanganan gempa bumi
– Prosedur penanganan kebocoran zat kimia
– Prosedur penanganan bahaya biologis
– Prosedur penanganan bahaya banjir
– Prosedur penanganan ancaman bom
 Lampiran C
Tentang standar Penyediaan obat-obatan &
alkes

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