Major Incident

Medical Management and Support

( MIMMS )
The Practical Approach in the Hospital
 Field Operation / Command Unit

Information and
CDC team
office back up team
Centers for Disease Control and
Prevention

Coordination team

Logistic team Medical team

 Operation / Command Unit

Coordination team

Information and Logistic team

office back up team

Medical team Surveillance

Hospital Coordination Team

Medical
Coordinator

Senior
Senior Senior
Emergency
Manager Nurse
Physician

Collapsible Hierarchies
 Medical
Coordinator

Medical Support Senior

Services Emergency
Physician

Consultan Consultan Senior Consultan Consultant Consultan House Sub-Spciality Senior Senior Senior
Haemato- Biochemist MLSO Pathologist Psychiatrist Radiologist Officers Consultants Phamacist Surgeon Physician
logist SpRs

Surgical
Senior Radiologist Area Senior Senior
Radiographer On-call Intensivist Paediatrician
MLSO MLSO MLSO
Biochemistry Haematology Transfusion

Duty Senior Senior

Radiographer Surgeon Anaes
Theatres thetis

Senior Senior Specialist Operating Trans-

Surgeon Surgeon Operating Teams fer
Pre-Op Post-Op Teams Teams

P1 & P2 P3

Paediatric Treatment Surgeon Treatment Physician

Assessment Teams Minors Teams Minors
Teams

The Clinical Hierarchy

 Senior Nurse

Senior Nurse Senior Nurse Senior Nurse Senior Nurse Senior Nurse
ED Discharge Area ITU Theatres Wards

Triage Senior Senior Senior Team ITU Senior ODP/ Theatre Senior Senior Senior Senior
Nurse Nurse Nurse Nurse Coordinator Nurses Anaesthetic Nurse Nurse Nurse Nurse Nurse
P3 Admissions Paediatrics Pre-Op Post-Op
P1 Resus P2 Nurse Wards

Treatment Treatment Treatment Anaesthetic

Team Team Team Nurses/
Nurses Nurses Nurses
P1 P2 P3
ODPs

The Nursing Hierarchy

Harus ada Pengembangan Pengembangan

1 2
 Senior Manager

Operation Management Facilities

Suport

Senior Press
Telephonist Officer

Senior Senior Senior Senior Senior Volunteer Religious Senior

Porter Transport Enquiries Security Admissions Coordinator Officer Social
Manger Officer Manager Officer Worker

Creche Medical Senior Senior TSSU CSSU Senior Linen

Manager Photographer Engineer Catering Manager Manager Supplies Service
Manager Manager Manager

The Management Hierarchy

 Organisasi PB-RS

DIREKTUR
RS

Pelaksana / eksekutor
Laiason
Ketua Tim Bertanggung jawab ke Direktur
Officer

Menejemen Koordinator Koordinator

RS Paramedis Medis

Profesional / mandiri / self generating

Bertanggung jawab ke ketua tim
 Organisasi PB-RS
Ka UGD
( Dokter Jaga Bedah

KaBid Pelayanan KaBid Perawatan KaBid YanMed

( Case Manager ) ( KaRu UGD ) ( Dokter Jaga UGD )

Logistik Tehnik Perawat ICU Perawat OK Bedah Anestesib

 Organisasi PB-RS
Ka UGD
( Dokter Jaga Bedah

KaBid KaBid KaBid

Tim Penunjang
Pelayanan Perawatan YanMed
Lapangan Medis
( Case Manager ) ( KaRu UGD ) ( Dr Jaga UGD )

Logistik Tehnik Relawan Komunikasi Perawat ICU Perawat OK Bedah Anestesi Lab. Radiologi

OK

UGD
 Organisasi PB RS Tipe D / Puskesmas Ranap

Ketua Tim
Medis

Seksi Seksi Seksi

Administrasi Keperawatan Medis

Operator Dokter Gadar /

Ranap UGD Laboratorium
telpon Spesialis

Pekarya
• Organization structure
– Command system
– Standard Operating Procedure
– Job description
– Management system
– Etc
• Recommended persons
– Prerequisite
– Standard of competencies
 Standar Pelatihan

Disaster Management
Incident Commander
Koordinator
HOPE

Bidang Bidang Bidang

Menejemen Keperawatan Medis

HOPE PPGD ATLS

Komunikasi medik Perawat ICU ACLC
Menejemen logistik Perawat OK First reponder
Struktur gedung Komunikasi medik
Ekstrikasi
 Prosedur tetap
Rapid Health Assessement
Peringatan dini
Aktivasi
Koordinator Pelaporan
Standar SDM
Hazard maping
Networking
Koordinasi relawan

Bidang Bidang Bidang

Menejemen Keperawatan Medis

Pengaturan Media Rekruitmen tim Rekruitmen tim

Menejemen relawan Persiapan OK Triase
Logistik medis Persiapan Triase Area cadangan
Komunikasi Rujukan
Cadangan listrik
Logistik team
Transportasi
 Statements

• Good plan:
– Right people arrive in the right place at the right time to do a
correct job
– Comprehensiveness >< comprehensibility