Reportase hari 1 Workshop dan Simulasi Hospital Disaster Plan RSUD Ungaran

pembukaan 1

Reportase hari 1

Workshop dan Simulasi Hospital Disaster Plan RSUD Ungaran, Jawa Tengah

Ungaran, 9-10 Agutus 2016


pembukaan 1

Kali ini, Tim Manajemen Bencana, Pusat Kebijakan Manajemen Kesehatan kembali mengadakan seminar dan workshop HDP. RSUD Ungaran kali ini memilih paket pemantapan HDP (review dan revisi) serta simulasi untuk menguji dokumen HDP yang sudah dimiliki.
Sekurangnya, ada 75 peserta yang mendapat seminar dan sosialisasi HDP di RSUD Ungaran kali ini. Peserta terdiri dari unsur pimpinan, pelayanan, perencanaan, logistik, rumah tangga, hingga keamanan.

pembukaan 2 

Sambutan sekaligus pembukaan langsung disampaikan oleh Direktur RSUD Ungaran. Beliau menyambut dengan baik antusias pokja bencana di rumah sakit untuk menyelenggarakan kegiatan ini sehingga rumah sakit lebih mengetahui hal-hal apa saja yang masih kurang dan harus dilengkapi oleh rumah sakit untuk siaga dalam menghadapi bencana. Beliau sangat berharap seluruh peserta mengikuti dengan baik proses seminar dan workshop hari ini, serta mengetahui dokumen HDP yang telah dimiliki oleh RSUD Ungaran. Sambutan di tutup dengan menyematkan yel yel RSUD Ungaran.

Materi pertama disampaikan oleh dr. Hendro Wartatmo, Sp.BD. Beliau dapat disebut sebagai aktivis bencana yang dimiliki oleh RSUP Dr. Sardjito Yogyakarta. Sepak terjang beliau dalam kegawatdaruratan telah teruji selama 13 tahun menjadi ketua IGD dan sejak 2014 telah terlibat dalam banyak penanggulangan bencana nasional di Indonesia sebagai tim medis yang dikirimkan ke daerah bencana.

Selalu menarik dari apa yang disampaikan beliau. HDP itu dapat diciptakan dengan baik tanpa rumah sakit terkena bencana dahulu asalkan tidak persis meniru HDP rumah sakit lain, melainkan menyesuaikan dengan kondisi rumah sakit. Dalam pengorganisasian bencana, yang perlu diperhatikan adalah siapa yang menjadi komandan bencana? tidak harus direktur, melainkan orang yang mampu atau menguasai untuk memimpin 4 bagian di bawahnya (logistik, perencanaan, keuangan, dan operasional) pada saat bencana. Selain itu, dalam menyususn pengorganisasian bencana, struktur bukanlah hal yang baru, melainkan mencocokkan kegiatan harian menjadi situasi bencana. Akan lebih baik jika berdasarkan jabatan dari pada nama personal.

pembukaan 3

Paparan berikutnya dari dr. Bella Donna, M.Kes. Beliau menyampaikan mengenai pengorganisasian dan fasilitas HDP. Menyambung penjelasan dr. Hendro, untuk membuat pengorganisasian saat bencana dapat menggunakan metode cross walk. Kita bisa menyandingkan struktur organisasi situasi normal dengan pengorganisasian yang akan diaktifkan pada saat bencana saja.

Pada point fasilitas, beliau menjelaskan mengenai fungsi ruangan yang disiapkan jika terjadi becnana. Termasuk, hal dan alat apa saja yang harus ada pada ruangan-ruangan atau fasilitas tersebut. Misalnya Pos Komando, carilah ruangan yang aman yang jauh dari bagian operasional, digunakan untuk rapat dan koordinasi, di dalamnya tersedia peta daerah, denah rumah sakit, dan kartu tugas.

Terakhir, paparan dari dr. Sulanto Saleh Danu, Sp.FK yang menjelaskan mengenai manajemen logistik pada saat bencana. logistik pada dasarnya terbagi menjadi tiga, yaitu logistik personal, logistik tim, dan logistik operasional. Jika kita berbicara mengenai HDP maka akan lebih banyak dibahas mengenai logistik operasional. Bagaimana tim logistik mampu merencanaan kebutuhan logistik dan menjamin ketersediaannya jika terjadi bencana.

Setelah istirahat siang, kegiatan dilanjutkan kembali dengan satu paparan mengenai komponen-komponen HDP oleh dr. Bella Donna, M.Kes. Komponen HDP pada dasarnya seperti daftar isi sebuah dokumen. Apa saja yang direncakan harus masuk dalam dokumen tersebut sehingga siapapun yang akan menggunakannya suatu saat bisa langsung digunakan.

pembukaan 4

Satu jam kemudian, dr. Dewi dari RSUD Ungaran memberikan sosialisasi dokumen HDP RSUD Ungaran. Analisis situasi rumah sakit terhada ancaman bahaya di Ungaran telah masuk pada latar belakang, termasuk SOP yang coba disusun dan tupoksi pada pengorganisasian HDP. Namun, seperti poin fasilitas dan bagan pengorganisasian masih perlu ditambahkan lagi. Harapannya, pada saat simulasi esok, rumah sakit mampu menjalankan HDP mereka. Apapun hasilnya akan menjadi masukan yang berharga bagi perkembangan HDP RSUD Ungaran.

Kegiatan terakhir hari ini adalah penjelasan skenario simulasi oleh Madelina Ariani, MPH. Kemudian, kelas dibagi menjadi dua tim yakni tim HDP dan tim korban. Tim korban terdiri dari petugas, staff, dan relawan dari mahasiswa magang. Sedangkan tim HDP juga dibantu oleh staff rumah sakit yang esok bertugas dalam simulasi ini. Kasus simulasi yang akan digunakan esok adalah simulasi kebakaran. Skenario ini akan terus mendapat suntikan kasus selama berlangsung nanti.

pembukaan 5

TOR Pemantapan HDP dan Simulasi RSUD Ungaran RSUD Ungaran, Jawa Tengah

TERM OF REFERENCE (TOR)

Pemantapan HDP dan Simulasi RSUD Ungaran, Jawa Tengah

Selasa- Rabu 9-10 Agustus 2016 dan Senin, 15 Agustus 2016


 

Latar Belakang

Banyaknya korban yang datang ke rumah sakit saat bencana harus dapat diantisipasi, sehingga rumah sakit sebagai tempat rujukan bagi korban bencana harus mampu menjadi tempat yang aman dan layak untuk para pasien. Untuk meminimalkan risiko bencana, rumah sakit harus mempunyai perencanaan dan prosedur untuk penanganan bencana, sehingga dapat menangani korban dalam jumlah yang sangat banyak dalam situasi bencana bahkan dapat mengidentifikasi potensial terjadinya bencana di lingkungan rumah sakit. Rumah sakitdalam hal ini memegang peranan utama dalam kesiapan penanggulangan bencana dan dalam menangani korban bencana. Dua hal pokok yang harus dapat dilakukan oleh rumahsakit agar siap menghadapi bencana adalah dukungan kemampuan tehnis medis (Medical Support) dan dukungan kemampuan menejerial (Management Support).

Begitu penting rencana penanggulangan bencana bagi rumah sakit ini didukung dengan adanya Undang-undang RI No.44 Tahun 2009 tentang rumah sakit, khususnya pada pasal 29 yang salah satu poinnya berbunyi bahwa “Rumah sakit mempunyai Kewajiban memiliki system pencegahan kecelakaan dan penanggulangan bencana”. Selain itu, dalam Pembahasan Akreditasi Rumah sakit tahun 2012 pada elemen penilaian akreditasi pada Standar Manajemen Fasilitas dan Keselamatan (MFK) mengenai Kesiapan menghadapi bencana pada Standar MFK 6 yang berbunyi “Rumah Sakit membuat rencana manajemen kedaruratan dan program penanganan kedaruratan komunitas, wabah dan bencana baik bencana alam atau bencana lainnya”. Salah satu elemen penilaian MFK 6 adalah rumahsakit telah mengidentifikasi bencana internal dan eksternal yang besar, seperti keadaaan darurat di masyarakat, wabah, dan bencana alam atau bencana lainnya serta kajadian wabah yang bisa menyebabkan terjadinya risiko yang signifikan.

Untuk menilai kesiapsiagaan penanggulangan bencana di rumah sakit maka perlu dilakukan simulasi. Simulasi bencana internal dan eksternal rumah sakit minimal dilakukan dua kali dalam satu tahun. Selain simulasi, untuk menguji dokumen Hospital Disaster Plan yang sudah dimiiliki perlu dilakukan review, tujuannya untuk menyesuaikan dengan perubahan yang berjalan di rumah sakit dengan SOP-SOP dan apa yang sudah tertulis di Berdasarkan hal tersebut, dibutuhkan pemantapan dokumen HDP dalam bentuk workshop dan review kembali.

Tujuan

Tujuan umum kegiatan ini adalah mereview dokumen dan kesiapsiagaan penanggulangan bencana melalui simulasi yang pernah disusun oleh rumah sakit.

Tujuan khusus:

  1. Melakukan sosialisasi mengenai dokumen HDP kepada tenaga kesehatan dan staff di rumah sakit yang sebelumnya belum terlibat dalam penanggulangan bencana
  2. Menilai kebutuhan rumah sakit dalam penanggulangan bencana sesuai dengan perubahan lingkungan rumah sakit
  3. Melakukan simulasi bencana untuk menguji dokumen HDP
  4. Memberikan masukan untuk perbaikan dokumen dan pelaksanaan penanggulangan bencana di rumah sakit

Tempat dan Waktu Kegiatan

Kegiatan ini dilaksanakan di Rumah Sakit Daerah Umum Ungaran

Hari/tanggal   : 3 hari pelaksanaan

Waktu           : 09.00 – 16.00 WIB

Bentuk Kegiatan

Seminar, workshop dan simulasi

Tim Pendamping dari Divisi Manajemen Bencana, PKMK FK UGM

  1. dr. Hendro Wartatmo, Sp.BD(K)BD — HW
  2. dr. Handoyo Pramusinto, Sp.BS —- HP
  3. dr. Sulanto Saleh Danu, Sp.FK —- SSD
  4. dr. Bella Donna, M.Kes —- BD
  5. Sutono, SKp, MSc —- ST
  6. Madelina Ariani, SKM, MPH — MA
  7. Intan Anatasia, Apt, MSc — IA

Rencana skenario

Pada pagi hari, Rabu 9 Agustus 2016, tiba-tiba terjadi hubungan arus pendek dan terjadi percikan api di ruang instalasi gizi rumah sakit Ungaran. Saat itu petugas gizi yang berada di instalasi gizi belum menyadari kejadian tersebut.

Dalam waktu 5 menit selanjutnya, keluar asap tebal dari ruang instalasi gizi, dan api mulai menjalar ke ruang dokter. Petugas di ruang dokter, radiologi, dan laboratorium baru menyadari dan panik karena kemudian terdengar bunyi ledakan serta muncul lidah api keluar dari ruangan tersebut. Terjadi kepanikan massal karena api mulai membesar dan menjalar ke ruangan dokter, radiologi, dan laboratorium.

Mengetahui ada kebakaran, pasien inap di lantai dua panik dan meminta untuk dievakuasi.

Kemudian beberapa media lokal datang untuk menghimpun berita langsung ke tempat kejadian. Selain itu, pada saat yang sama dari salah satu pengunjung rumah sakit merupakan seorang relawan dari LSM memiliki inisiatif ingin membantu penanganan kebakaran tersebut.

Kegiatan yang dikerjakan:

  1. Alarming (Early warning system)
  2. Aktivasi sistem
  3. Sistem komando
  4. Evakuasi
  5. Recording – Reporting
  6. Penanganan media dan relawan
  7. Evaluasi
  8. Rencana Tindak Lanjut

Jadwal Kegiatan

Pertemuan Sosialisasi dan Review HDP (Hari 1) Selasa, 9 Agustus 2016
Waktu Kegiatan Keterangan
08.00 – 08.30 Registrasi Peserta Panitia
08.30 – 08.50

Pembukaan

Tim RS dan PKMK FK UGM
08.50 – 09.00 Coffee Break Panitia

09.00 – 10.30

10.30- 11.00

11.00 – 11.30

11.30 – 12.00

12.00 – 12.30

  1. Kerangka Konsep dan Overview HDP
  2. Pengorganisasian dan Fasilitas
  3. Logistik
  4. Komponen HDP

Diskusi

  1. dr. Hendro Wartatmo, Sp.BD
  2. dr. Bella Donna, M.Kes
  3. dr. Sulanto Saleh Danu, Sp.FK
  4. Madelina Ariani, SKM,MPH
12.30 – 13.30 Istirahat, Sholat, Makan Siang

Panitia

13.30 – 14.30

Pemaparan Draft Hospital Disaster Plan Review oleh Tim PKMK FK UGM
14.30 – 16.00 Persiapan simulasi Tim PKMK FK UGM
    Reportase Kegiatan
Pertemuan Simulasi Bencana (hari 2) Rabu, 10 Agustus 2016
Waktu Kegiatan Tempat
07.00 – 09.00 Persiapan simulasi Aula RS
09.00 – 09.30 Brifing oleh tim RS dan PKMK Aula RS
09.30 – 10.00 Perpindahan tempat menuju titik simulasi (pengkondisian)  
10.00 – 12.00 Simulasi Ditempat yang ditentukan
12.00 – 13.00 Istirahat, makan, dan sholat Aula RS
13.00 – 15.00 Evaluasi Aula RS
15.00 – 16.00 Persiapan revisi untuk HDP hari 3 Aula RS
Pertemuan Revisi Dokumen HDP (hari 3) Senin, 15 Agustus 2016
Waktu Kegiatan Keterangan
08.30 – 09.00 registrasi Panitia
09.00 – 10.00 Pemaparan Draft Hospital Disaster Plan Review oleh Tim PKMK FK UGM
10.00 Coffee break  
10.00 – 11.30 Pengerjaan draft Hospital Disaster Plan Peserta dan Tim PKMK FK UGM
11.30 – 12.30 Istirahat, Sholat, Makan Siang Panitia
12. 30 – 15.00 Finalisasi draft Hospital Disaster Plan Peserta dan Tim PKMK FK UGM
15.00 Coffee break dan cetak dokumen Hospital Disaster Plan Panitia
15.00 – 16.00 Pengesahan revisidokumen Hospital Disaster Plan dan penutupan  

Report Day 2 Insarag 2016

day-2-insarag

Report Day 2: Tuesday July, 26 2016

Coverage from the Kalasan Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016


 

Emergency Medical Team (EMT) Group Discussion

EMT meeting day two was held in Tuesday, July 26, 2016 in Kalasan Room, Inna Garuda Hotel,Yogyakarta.  This session purpose to discuss how they will act in simulation process for tomorrow. This team consist of player, local government and emergency medical team. This team agreed that all of EMT international should registered in Ministry of Health (MoH), Indonesia Republic. If they already registered, it will make a simple way if Indonesia need EMT International (when natural disaster came).

day-2-insarag

The second session was presentation from 4 speaker, from Health Crisis Center MoH, Pusat Penanganan Krisis/PKK or Health Crisis Center Central Java Regional, DIY Province Health Office, and lesson learnt from Faculty of Medicine, UGM. dr. Ira C Tresna explain about the position of MoH and team for tomorrow simulation. MoH will accept all of EMT international and distribute them to disaster area. The next speaker, Haris Kurniawan, SKM (Health Crisis Center, Central Java Regional) describe that HCC Regional is extension of the hand’ of MoH. Haris and team claim that they was a group of crazy people that respected. In short term, HCC Central Java will make a training for volunteers about basic life support and water rescue.

dr. Anung Trihadi from Health district office, DIY Province recite about Standard Operating and Procedure (SOP) when emergency disaster came. MoH will base in Health district office, DIY Province, and MoH will command HCC, EMT international, call center 118, BPBD (Local Disaster Management Agency), BNPB (National Disaster Management Agency) and another team or volunteers.

dr-hendroLesson learnt from Faculty of Medicine, UGM explained by dr. Hendro Wartatmo, Sp. BD. Hendro was lecturer in UGM, a doctor and Disaster Working Group member in FoM UGM. He told about Merapi eruption and Bantul earthquake. Merapi eruption causing mental and physics. It is happen because major explosion would occur in 2006. That’s why preparedness is never enough. We already knew that Merapi always gave us a slowdown lava before.

Bantul earthquake made a huge movement to health disaster team in DIY. It was valuable experience in disaster management. Why? Because when Bantul earthquake, Hendro saw an emergency hospital from EMT international on the center of main road. And it was recorded 400 operations are performed in the first 30 days after the earthquake but the data is not detail. So, the conclusion is, in disaster management we are not lack of resources but lack of coordination.

In the middle day session, Supriyadi, Klaten, Central Java, one of the former SAR and Klaten Red Cross volunteers share experiences about what is most important in a disaster and hopes disabilities to be more involved in decision making in the treatment of victims. Supriyadi suffered physical trauma, spinal fractures so use a wheelchair to move. Experience when an earthquake occurs, he has a basic self-rescue, then it could escape, but there are his children who were aged 1 year at that time, then Supriyadi save his son, he became earthquake victims. Currently, many countries that have ratified the CRTF and Sendai Framework, which is a joint agreement to reduce the risk of catastrophic risks. There are 3 points of Sendai Frmework, ie the threats, vulnerabilities and capacities. Disability is currently regarded as a vulnerability, Supriyadi hope each country involving disability opinion as input to determine policy. They also have the capability to reduce the risk of disaster. They are now involved in decision making and policy. It used to be only separated groups of children and gender segregation before.  But now, the existing data classified only age and gender. After Indonesia ratified the Sendai Framework, disability data collection has been done the appropriate form. However, our home work is how the business of international EMT team to be able to work together with the inclusion of persons with disabilities?
 
emt-coordination

After Supriyadi’s sharing session, the next session of the group is split into 4 groups discussion: for Logistics, Coordination, Culture, Clinical cases with facilitator dr. Ali Haedar, SP. EM, dr. Cristrijogo Sumartono W, Sp. An, KAR, Alfrinna Hanny, MN, and dr. Surya Prananda Airlangga, Sp. An, M. Kes, KIC.
Some list of questions that raised during the discussion are:

  • Is there a cultural shock when registration EMT International to Indonesia?
  • If there are cultural differences, what to prepare?
  • Does it need a permit if a male doctor checking female?
  • Do customs check of EMT international drug arrivals?
  • Is there a cultural prohibition if the foreign teams will help?

The results of the group discussions will be used for international EMT simulation which will be held tomorrow (Wednesday, July 27, 2016) with hundreds of health care workers and other volunteers from Indonesia and abroad.

Report Day 3 Insarag 2016

day3 1 insarag

Report Day 3: Wednesday July, 27 2016

Coverage from the Kalasan Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016


Simulation Day 1

An earthquake has struck Yogyakarta on Tuesday night 26 July 2016 and shudder three district in Special Region of Yogyakarta, more precisely the earthquake hit Bantul district, Sleman district, and Yogyakarta municipality. Communications were cut off, thousands of people have died and the wounded have been taken to the hospital for medical assistance.

day3 1 insarag

An Earthquake is a sudden and violent shaking of the ground, sometimes causing great destruction, as a result of movements within the earth’s crust or volcanic action. Such natural phenomenon happens frequently in an area that is close to volcanic mountain and also in the areas that is surrounded by vast oceans.

National Search and Rescue Agency Republic of Indonesia in collaboration with the local or international EMT (Emergency Medical Team) are immediately dispatched to the affected areas, to evacuate and carry out medical assistance to relief the emergency situation caused by the earthquake.  
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All of the EMT, both national and international, are directed to registration booth in the Yogyakarta Special Region Public Health Center before carrying out their duties. This is to allow initial assessment of the needs, current situation and to decide the most appropriate measures in responding to the emergency situation.

day3 3 insarag

When the EMT team has finished the pre-registration in the Public Health center in DIY, they are directed to the minister of health office to know the current situation. The EMT is then directed to the district health office representative of the affected areas (Sleman health district, Bantul health district, and Yogyakarta health office); those who received assignment from the health district concerning the number of the EMT personnel needed to be deployed are directed to the data management room.

day3 4 insarag

After conducting field duties, the EMT team writes a daily report that will be returned to the corresponding district health office to allow monitoring EMT needs and in order to meet challenges in the field such as human resources needs, drugs, and determine medical assistance. After the EMT team has carried out their duties, they quickly return to the health district to report their finding in the field and update the current situation in the affected area.
Earthquake can happen at any time without any warning. However, the epicenter tends to occur in certain areas such as pacific tectonic plates. This is known as the ring of fire due to the great number of volcanic mountains.

Doc.CHPM: District Health Office

day3 6 insarag
 

Report Day 4 Insarag 2016

day4 1 insarag emt simulation

Report Day 4: Thursday July, 28 2016

Coverage from the Kalasan Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016


Simulation Day 2

Simulation of Emergency Medical Team second day was held on Thursday (28 July 2016) from 08:00 AM until 17:00 PM. One of the teams who enthusiastically followed the simulation with members groups from Indonesia, Malaysia and Poland. The team originally headed public health sector, where the situation is 14 days after the disaster, where still many problem, such as water shortage, many emerging disease (malaria, dysentery, diarrhea and others). Then, the team towards sectors A, B, C and D. During the journey to the whole sector, the members do sharing experience.

day4 1 insarag emt simulation

In this group, representatives of Muhammadiyah Disaster Management Center (MDMC) communicating even when disaster happen, many people are waiting in line for free medicines and vitamins from the health post. When in sector B, many of the participants draw the same conclusion, when a disaster occurs, the uniform becomes a problem in itself, because many volunteers who are not in uniform.
                                   
Doc. CHPM FoM UGM Participant from Poland
This first task from this simulation on the second day that must be done is to examine the entire sector participants, identify needs and find the best strategy for dealing with victims and disaster management. Besides this, the team must provide feedback to the Ministry of Health in the end of simulation.
After about 30 minutes had passed, all participants sat together again with the Ministry of Health to report a number of obstacles encountered when walking visited many sectors earlier. Ashraf, a participant from Malaysia ask if there are doctors and health workers who provide services illegally, then where to report or what to do? The Ministry of Health confirms the parties, the Ministry of Health will conduct a sweep on the fourth day and will provide escort for health workers illegal.
Representatives of MDMC ask, there have been cases in one of the sectors that the vaccine runs out and there is no vaccine cold chain, then what to do? The Ministry of Health represented by Central Java Regional PPK answered teams MDMC please contact the Yogyakarta Provincial Health Office, if not there, then contact the Ministry of Health directly. Representatives from Airlangga University in the Post asking his case ketamine, antibiotics and adrenaline stolen, one of the concerns raised is that these drugs will be misused by irresponsible people. Ministry of Health to clarify the case of theft of this kind, the Ministry of Health will contact the cluster security (police and military) and it will be investigated.
Participants of the International EMT then asked the volunteers after 14 days at the site, whether local governments still need help and their aid? Ministry of Health states do not require assistance from all of the EMT (national and international) and will activate all health professionals and local health facilities that exist.

day4 2 insarag emt simulation

Participants of Yakkum Emergency Unit (YEU) asked if there were any casualties or patients with spinal cord injury, how work arounds? Ministry of Health explained that the patient can be referred to the state-run rehabilitation center in Bantul and Solo. The government will also ask the help of the military and police in the transfer.

Representatives of MDMC back asking if there is a patient with a psychiatric disorder, Should MDMC team to be done? Central Java Regional PPK stated, please contact RS Grhasia Pakem (Sleman) to care for these patients. This is a special hospital for psychiatric disorders.

Question of the representation Panembahan Senopati Hospital is that if there are three bodies that have not been well identified, what to do? The Ministry of Health stated, immediately contact the Department of Health and the local Regional PPK, these two institutions that will connect to the police, where the DVI will help.

After a long discussion and fun, participants take a rest for an hour and then back again to the discussion room. The themes discussed next is a matter of what the final findings of the whole circuit simulation is an emergency medical team. The Ministry of Health stated, there are some crucial matters summarized from many EMT International reporting to the Post Ministry of Health, including: clean water, infrastructure damaged and the limited vaccine.

Thus, the Ministry of Health provides a number of solutions. First, the supply of clean water taps Inside Commander will cooperate in providing them. Then the damaged infrastructure, the Ministry will contact the Ministry of Public Works. Lastly, the vaccine will be promoted and distributed. Closing statement of the Regional PPK is the data from field hospital / emergency no longer exists referred patients.

Harris Kurniawan, SKM as the representative of regional PPK stated simulating international EMT’s provide a lot of new experiences, one of which is the management organization of EMT and how to receive and distribute foreign aid to Indonesia, both human resources, as well as other drugs.

Representatives of Poland states, we (EMT international) should have been contact with the volunteers or local NGO before the international EMT dating because of differences in language and culture. In fact, the information related to the disaster area is dominated local volunteers. Representatives from China asserted, international EMT simulation is very useful and hope in the future, we all international volunteers could become one family.

EMT International of China and Japan agreed to, the current constraints EMT team of international is when registering at the local post where when interacting with people in Indonesia who lack good English skills. International EMT China and Japan said they were very stressed at the beginning of his arrival in Indonesia.

Closing statement of the representative of the international EMT is the difficulty of collecting daily reports, what’s being done every day for providing services at the site. At the end of the session, the Ministry of Health requested that all international EMT register how many patients who were transferred from the emergency hospital as well as tools, or anything that will be donated to the Indonesian authorities.

Closing INSARAG International Simulation EMT 2016

Closing of the international EMT simulations have been conducted on Thursday, July 28th, 2016 at 16:00 pm at the Inna Garuda Hotel. Delivered closing remarks of the three parties, from INSARAG, UNOCHA and BASARNAS. In addition, the handover keepsake simulation to four volunteers are representatives of China, Indonesia (BASARNAS), ASEAN and Australia Rapid Statement Med. Party UNOCHA stated international EMT simulation is very challenging and fun. UNOCHA also expressed great gratitude for outstanding hospitality BASARNAS.

 

Report Day 1 EMT Session

pembukaan-insarag

Report Day 1 EMT Session, Monday July, 25 2016

Coverage from the Nakula Sadewa Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016


 

Emergency Medical Team Session

Our country is considered by many as a country that is plagued with disasters. These disasters are either caused by natural disasters such as earthquake, floods, tsunami, and many other causes or from human activities such as bombing terrors, civil unrest, fire or even accidents at work due to human negligence. As part of the ERT (Emergency Response Team), the Medical Emergency Response Team (EMT) focuses on providing medical assistance to the disaster victim.

pembukaan-insarag 

ERP (Emergency Response Plan)  management system is always needed and must ready to be implemented in the event of an emergency, therefore it is advised that every corporation incorporate ERP management system as early as possible. One of the many ways to learn it is through dissemination and Emergency Response Plan exercises, followed by routine and continuous exercises.

It is hoped that through this exercise, participants will acquire knowledge in meaning disaster and conduct emergency techniques accurately. The purposes of the exercise are as follows:

  • To coordinate Emergency Planning efforts/ERP (Emergency Response Plan) therefore efficiency and effectiveness can achieved in managing emergency.
  • To have the proper understanding with the logistics of things concerning with ERP (Emergency Response Plan) as a system that is always needed and implemented in the event of an emergency therefore emergency response can be carried out quickly and with precision.
  • To understand the risk of emergency situation and exercise preparedness in managing emergency situation therefore anxiety and panic can be managed.
  • To be better prepared in reducing the risk of more loses in the event of an emergency.  
  • To manage procedures in conducting Emergency Response thus reducing company loss.
  • To ensure that control measures and ERP (Emergency Response Plan) is well organized.

Report Day 1 – INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

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Report Day 1, Monday July, 25 2016
Nakula Sadewa Room, Inna Garuda Hotel

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016


INSARAG Asia Pacific Regional Earthquake Response Exercise was held in Inna Garuda Hotel, Malioboro on Monday, July 25, 2016. The opening ceremony begins with the singing of the Indonesian national anthem by all of the INSARAG participants, and then followed by Gambyong traditional dance.
 
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The opening speech came from Mr. Gatot as the Yogyakarta Special Region representative. In his speech, he was very pleased to have the INSARAG Asia Pacific Regional Earthquake Response Exercise held in Yogyakarta. This exercise would increase the capabilities of community of Search and Rescue Agencies especially in managing with earthquakes disaster. This exercise would also create awareness both for the people and the government in Yogyakarta Special Region in managing and providing relief aid due to earthquakes disaster. Furthermore, the regional government views this exercise as an opportunity for Yogyakarta to become the local representative for Indonesia in the international community.
 
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Mr.Zhao Ming, as the head of INSARAG Asia Pacific Regional added that reflecting from the Banda Aceh tsunami in 2004, Indonesia has demonstrated the ability as a nation capable in dealing with unexpected challenges emerged from such natural disaster.  As a developing country and as a nation that is plagued with natural disaster, it is hoped that through this exercise, Indonesia would like to be ready in managing all kinds of natural disaster.  
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Mr.Oliver Lacey Hall, Head of OCHA Indonesia/ASEAN Liaison Officer stated that through this exercise it enables a nation to reinforce its safety lines and relief aid, especially Indonesia. As a nation, Indonesia has to be ready at all times to deal with natural disaster.
 

Supporting statement arise also from the head of the Indonesia Search and Rescue Agency (BASARNAS), Air Marshall Mr. FHB Soelistyo, he conceded that there is an opportunity to cooperate and coordinate with other nations and continue its commitment for humanity. It is hoped that in the near future this development of readiness will be maintained and developed along with Indonesia’s regional partner and it can also become a valuable experience and an opportunity for collaboration with the regional government that is hit with the natural disaster as a response to the Indonesian people concerning health and safety in the event of a disaster.

Workshop Koordinasi Penanganan Korban Bencana oleh Emergency Medical Team (EMT)

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27-29 Juni 2016


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Pembaca website bencana, saat ini sedang berlangsung kegiatan workshop koordinasi EMT hingga 29 Juni 2016.  Workshop ini berupaya mengumpulkan penggiat bencana, khususnya tim-tim EMT dari Yogyakarta, Jawa Tengah, Jawa Timur, dan Bali yang berasal tidak saja dari rumah sakit tetapi juga dinas kesehatan, fakultas kedokteran, dan LSM. Agenda besar kegiatan ini  adalah penyamaan persepsi mengenai EMT dan menyempurnakan SOP mengenai koordinasi penanganan korban oleh EMT di Yogyakarta. Menarik sekali, untuk pembaca sekalian, kami menyediakan reportase dan materi workshop. Pembaca sekalian dapat mendownload pada link berikut Klik Disini

Ukraine in total natural disaster

Severe weather conditions left numerous cities without electricity, one person reported dead  Weather storm has covered nearly the whole territory of Ukraine.

Numerous regions report of accidents and power cuts caused by heavy rains and winds. Local residents also suffer from the consequences of natural disasters.

A 20-year-old man died in Kharkiv region amidst the field, his mother later found his body. In a while the medical expertise showed he had been struck by lightning and died because of electrical shock.

Ihor Lupandin, member of Ukraine’s State Emergency Service in Kharkiv Region: “The field is an open space, so it is no surprise the man was killed by lightning. The medics later confirmed he had been damaged by electricity. Except for the thunderstorm, there can be no other reasons.”

Torrential rains followed by thunderstorm struck several districts of the city of Kharkiv. The meteorologists say there have been a monthly rainfall level during one night. Four cars have been damaged so far, several multistoried buildings remain without roof, for it has been torn off by strong wind flow. The workers of communal service say they will need at least a couple of days to eliminate the results of the weather disaster.

15 villages in the whole region remain without electrical supply.

In the city of Dnipro the abnormal heat was replaced by heavy rains and thunderstorm. A great deal of rainfall has resulted in massive floods in the city centre, as well as the outskirts. In order to escape submerging deeply in water, numerous pedestrians had to climb up the benches. Those driving a car encountered additional problems, since the vehicles were not able to move through the entire water front. Some of the number plates were washed off, now the police seek for their owners. 

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Photo courtesy – social media

One more accident caused by weather conditions happened in the city of Poltava, that is north-eastern Ukraine. A multistoried building caught fire after being hit by lightning. A portion of electricity struck the aerial on the roof, the next moment the flame encompassed the area of 500 square metres in total.

City administration sent the whole firemen staff to battle the fire. Despite big number of workers, they managed to extinguish the flame only three hours later. One of the flats on the 5th floor is totally burnt, 10 other apartments are flooded with water, the roof is also partially destroyed.

Ukrainian capital also suffered from bad weather. In the centre of Kyiv strong winds overthrew an old maple. No injuries reported, though the centennial tree damaged four cars, electrical cable, and protective net on one of the balconies. The vehicles belonged mainly to the workers of Ukraine’s Security Service that is situated close to the site. Now some of them are set to complain to the court.

Penanganan Bencana Purworejo Jadi Percontohan

Penangan Bencana di Purworejo

PURWOREJO – Penanganan bencana tanah longsor dan banjir di Kabupaten Purworejo akan menjadi percontohan di tingkat nasional. Badan Nasional Penanggulangan Bencana (BNPB) akan mendokumentasikan pola penanganan yang dilakukan semua unsur dalam menangani bencana yang menewaskan 46 jiwa itu.

Pihak BNPB menyebut, rencana itu didasarkan kondisi bencana di Kabupaten Purworejo yang terjadi di beberapa lokasi secara bersamaan dan masif. “Bencana banjir dan tanah longsor terjadi bersamaan, keduanya menyebabkan korban jiwa serta berdampak luas,” tutur Rahmawati Husein PhD, Dewan Penasehat BNPB, kepada KRjogja.com, Kamis (21/07/2016).

Menurutnya, kondisi tersebut memerlukan sebuah mekanisme koordinasi yang bagus. Penanganan bencana harus melibatkan seluruh unsur, baik masyarakat, pemerintah dan pihak swasta.

BNPB akan mendokumentasikan kegiatan respons dan pemulihan pascabencana Purworejo. “Ini menjadi pembelajaran yang baik. Apa yang terjadi di Purworejo bisa menjadi rekomendasi dalam pembuatan kebijakan tingkat lokal hingga nasional,” ungkapnya.

Rahmawati mengemukakan, respons Kabupaten Purworejo terhadap bencana telah terorganisasi dengan baik. Pemerintah melalui Badan Penanggulangan Bencana Daerah (BPBD) setempat mencoba berinovasi membuat jejaring sehingga penanganan bencana. “Tentu butuh kecepataan dan koordinasi, mungkin hal itu yang harus ditingkatkan. Instansi terkait juga harus secara otomatis menjalankan fungsinya dalam penanganan bencana, jadi tidak menunggu perintah atasan,” ujarnya.

Namun dalam penanganan, garis koordinasi tetap dipegang BPBD setempat sebagai lembaga yang ditunjuk undang-undang untuk menangani bencana. Fuadi Darwis menyatakan bahwa tidak semua daerah di Indonesia memiliki kapasitas yang sama bagusnya dengan Purworejo dalam menangani bencana. “Kapasitas itu yang harus sama-sama ditingkatkan,” ucapnya. (Jas)

sumber: (KRjogja.com)