CRAFTING

THE ROUTE TO
EMERGENCY NURSING
SPECIALISATION
IN INDONESIA
Ns. Arcellia Farosyah Putri, S.Kep., MSc
Indonesian Emergency and Disaster Nurses Associa?on – HQ
BACKGROUND
•  ShiCing roles
•  Complexity of the healthcare system and
diseases
•  ED Characteris?cs
EMERGENCY NURSING PROFESION

SERVICE

Accredita?on

Cer?fica?on

Licensure

EDUCATION
REFERENCES

1. Nursing act No. 38 year 2014
2. PMK No. 40 year 2017 Nurse’s Career
Pathway
3. CPD Guideline: Pedoman PKB Perawat
Indonesia Edisi 2 Tahun 2016 PP-PPNI
CONTINOUS PROFESSIONAL
DEVELOPMENT
Emergency Nurses Education and
Training
RegulaKon

1.  Standard of Curriculum

2.  Standard of Trainer
3.  Standard of Learning Facility and Media
4.  Standard of Monitoring and evalua?on
Standard of Curriculum
NO TYPES STATUS
1. MOT ✗
2. TOT ✓
3. Basic Life Support ✓
4. Basic Trauma Cardiac Life Support ✓
5. Emergency Nursing Basic, Intermediate, Advanced Level ✓
6. Fluid Resuscita?on ✓
7. Triage Officer ✓
8. Minor Surgical ✓
9. Ambulance Nurse ✓
10. IV Therapy ✓
11. Disaster Basic Level ✓
12. Disaster Advanced Level ✗
Standard of Trainer
NO Source Person Instructor
1. Min. Bachelor of Nursing (Ners) Min. Diploma
2. Clinical experience: min. 5 years ✓
3. Related training cer?ficate ✓
4. Updated emergency training ✓
cer?ficate min. every 2 years
5. TOT cer?ficate min. 3 years ✓
6. NIRA and HIPGABI member ✓
Standard of Learning Facility and Media
Standard of Monitoring and EvaluaKon
1.  Process: facility, facilitator, and learning process
2.  Trainee: Learning outcome and competency
3.  Assessment process: measure objec?vity and assess the
quality of competency
4.  Cer?ficate of competencies: con?nue every 6 month or 1
year of a valid cer?fica?on
 Standard of Monitoring and EvaluaKon
Emergency Nursing – Basic Level

NO COURSE CONTENT TIME Q

T P PL SUM %
1 FUNDAMENTAL
a.  Policy and regula?on towards ENP 2 0 0 2 4%
b.  Con?nous professional development 1 1 0 2 4%
c.  Emergency nursing concept 2 0 0 2 4%
2 CORE
a.  Emergency nursing care plan (ENCP) 1 3 0 4 9%
b.  Ini?al assesment 1 3 0 4 9%
c.  Airway & breathing management 1 2 0 3 6%
d.  Basic Life Support 2 6 0 8 17%
e.  ENCP: Hypovolemic shock 2 2 0 4 9%
f.  ENCP: ACS 2 3 0 5 10%
g.  ENCP: Trauma 5 8 0 13 28%
Total Credit 19 28 0 47 100%
Standard of Monitoring and EvaluaKon
Emergency Nursing – Basic Level
CORE 2 (INITIAL ASSESMENT)
• Learning objec?ve :
• Explain how to perform ini?al assesment
• Iden?fy problems in ABCDE
• Perform ini?al assesment
Standard of Monitoring and EvaluaKon
Emergency Nursing – Basic Level

Example
Seorang laki-laki berusia 30 tahun diantar ke UGD
dengan hasil foto thorak menunjukkan tension
pneumothorax. Pasien mengeluh sesak napas,
menggunakan otot bantu napas, dan frekuensi
napas 35 x/menit dangkal, trakea terdorong ke
arah yang sehat.
Apakah ?ndakan emergensi pada pasien?
CERTIFICATION SYSTEM
CredenKal Link Quality
Career Competency standard/ Competency- Quality Standard
Pathway cer?fica?on authority – poriolio of ENCP
PK 1 1.  Cer?fica?on and
assessment
PK 2 EN Basic 2.  Creden?al of
PK 3 EN Intermediate clinical
authority
PK 4 EN Advanced/ Specialist system:
directed,
supervised, and
PK 5 EN Specialist / independent
Consultant
3.  Clinical
authority and
poriolio
CERTIFICATION SYSTEM
Pathway: CerKficaKon Process
Career Competency Process CerKficaKon
Pathway
PK I (Intern) Novice LOG BOOK PK I
0 – 4 (D3) Beginner 3 Months internship à 1.  ENBL
0 – 2 (S1) competency assessment 2.  Ethics and legal
and cer?fica?on for EN ENP
Basic 3.  Therapeu?c
communica?on
CERTIFICATION SYSTEM
Pathway: CerKficaKon Process
Career Competency Process CerKficaKon
Pathway
PK II EN Basic 1 1.  3 Months internship 1.  TEAM WORK
(Clinical à competency 2.  NEWS and
authority: assessment and data analysis
supervised) cer?fica?on for EN in ED
Basic (internal/ 3.  Emergency
external) nursing care
à assessment plan
BASIC
(HIPGABI)
2.  Begin creden?al PK
II
CERTIFICATION SYSTEM
Pathway: CerKficaKon Process
Career Competency Process CerKficaKon
Pathway
PK II EN BASIC 2 1.  Clinial authority and 1.  EN
(Clinical assignment: INTERMEDIATE
authority: intermediate 2.  BASIC
independent) 2.  Competency SURGICAL SKILL
assessment: 3.  IV THERAPY/
intermediate FLUID
3.  Competency RESUSCITATION
cer?fica?on:
intermediate
CERTIFICATION SYSTEM
Pathway: CerKficaKon Process
Career Competency Process CerKficaKon
Pathway
PK III INTERMEDIAT 1.  1 Months CNE
E 1 (Clinical intermediate 1.  ENIL
authority: internship à 2.  TRIAGE
independent) competency OFFICER
assessment and 3.  CI in ED
cer?fica?on for 4.  ED and
intermediate level disaster
à intermediate management
cer?fica?on:
HIPGABI
2. Begin creden?al
PK III
CERTIFICATION SYSTEM
Pathway: CerKficaKon Process
Career Competency Process CerKficaKon
Pathway
PK III INTERMEDIATE 1.  Clinial authority and 1.  ADVANCED EN
2 (Clinical assignment: CARDIO
authority: advanced 2.  ADVANCED EN
independent) 2.  Competency NEURO
assessment: 3.  ADVANCED EN
advanced TRAUMA
3.  Competency 4.  ADVANCED EN PD
cer?fica?on: 5.  ADVANCED EN
advanced PEDIATRIK
4.  CNE intermediate 6.  MANAGEMENT
BENCANA
7.  PENGEMBANGAN
RISET
CERTIFICATION SYSTEM
Pathway: CerKficaKon Process
Career Competency Process CerKficaKon
Pathway
PK IV ADVANCED SP 1 GADAR CNE for
ADVANCED
SPECIALIST
(COLLEGIUM)
PK V CONSULTANT SP 2 GADAR 1.  SPECIALIST
(COLLEGIUM)
2.  DOCTORAL
(COLLEGIUM)
CERTIFICATION SYSTEM
PP-PPNI ISSUES
1.  Cer?ficate of alendence
2.  Cer?ficate of competence
3.  Leler of recogni?on à surat keterangan pengakuan
lembaga: provider pela?han
CERTIFICATION SYSTEM
Pathway: RequesKng Nurse Credit Point (SKP)
Organiser
(HIPGABI Prov,
Provider)
- Proposal PP-PPNI
- Recommenda?on
from DPW-PPNI (1
month prior)

Organiser PP-PPNI PP-HIPGABI

(No SKP) (Review Team) (Review Team)
CERTIFICATION SYSTEM
Pathway: RequesKng cerKficate of competence

Organiser
(HIPGABI Prov, PP-PPNI
PP-PPNI
Provider) - List of PP-
alendance (Review
- Proposal HIPGABI Team)
- Recommenda?on - Pre and post
DPW-PPNI (1 month score (Review No.
prior)
- Skill Site score Team) experKse
- Reques?ng cerKficate
cer?ficate of - NIRA
exper?se

Organiser
- CerKficate
of experKse
EMERGENCY NURSING
SPECIALIST PROGRAMME
COLLEGIUM
Nurse Specialist Competency
Revision: 2017
(5 Domains of the ASEAN Nursing Common Core Competencies)
1.  Ethic and legal prac?ce
2.  Professional Nursing Prac?ce
3.  Leadership and Management
4.  Educa?on and Research
5.  Professional, Personal, and Quality Development
COLLEGIUM
Nurse Specialist Competency
Professional Emergency Nursing Prac?ce

1.  Triage and Ini?al Assessment

2.  Life saving and stabilisa?on
3.  Psychosocial emergency: abuse, suicide, violence, and
forensic
4.  End of life care and acute grieving
THE TREE OF KNOWLEDGE
Disaster Management
Integumentum
Disaster Management Urology
T Musculosceletal Gastrointestinal
W Abdomen Endocrine
I Chest Cardiovascular
G Spinal Respiratory
Head Neurology

Trauma Non-Trauma

Command/ Disaster Cycle Vulnerable

Pediatric Adult Maternity Geriatric
Coordination Management Population

Daily/Mass Disaster

B
R Profesional, Personal, and Quality
A Development
N Education and Research
C Leadership and Management
H Professional Nursing Practice
Triage dan innitial assessment
Life Saving and Stabilisation
Emergency Psychosocial: abuse, suicide,
violence, and forensic
End of Life Care and Acute Grieving
Ethic and Legal Practice

Intra Hospital Pre Hospital

T Adult Nursing Psychiatric Nursing

N
R Community Nursing Maternity Nursing
K
U Pediatric Nursing Basic Emergency Nursing

Biomedical
R
Basic Nursing Concept
O
Generalist Nursing Care Plan
O
Research
T
Ethic and Legal Practice
TERIMA KASIH