Pasien COVID-19 di

Emergency Room
AUSTRALIA
Oleh :
Nur Ali SKP.BN.RN.GradCert
Perawat Emergency Nepean Hospital
Casual Critical Care/Emergency Blacktown/MountDruit Hospital
Nama : Nur Ali SKP.BN.RN.Gradcert
TTL : Ponorogo, 10 februari 1980
Pendidikan : (BLS/BCLS), Medical first Responder (MFR), Basic
• 2002 : AKPER UNMUH Ponorogo
• 2005 : S1 Keperawatan Universitas Binawan
• 2006 : BN (Bachelor of Nursing ) UTS Sydney
• 2007 : Windsor Institute Sydney –Pendalaman bahasa
• 2011 : Post Graduate Certificate
Pengalaman : • 2011: Chemotherapy course
• 2002 : RSAL Dr.Ramelan Surabaya
• 2004 : Ambulance 118 DKI Jakarta
• 2006 : AIN (Assistant In Nursing)- sambil Kuliah BN
• 2007 : Prince Of Wales Hospital (8 tahun )
• 2015 : Canterbury Hospital (4 tahun Emergency)
•2019- Now : Nepean Hospital (Fulltime Emergency)
•2019- Now : Blacktown Hospital ( Casual Critical Care)
•2019- Now : MountDruit Hospital (Casual Critical Care)
Pengalaman Organisasi :
• 2011-2014 : Ketua IMNA Australia
•2014-2019 : Ketua Board of Organisation IMNA
•2020 - Now : Aktif di bidang pendidikan lintas organisasi
Kursus :
• 2004 : Basic life Support/Basic Cardiac Life Support
Trauma Life Support (BTLS), Electro Cardio Graphic
(ECG), Dispatch and Ambulance Defensive Driving.
• 2007 : Wound care course
•2008 : Intensive Care Course
• 2015 : Emergency Transition Program,
•2016 : Adult & Paediatric Advanced Life Support,
EMSIC (Emergency Management of the Seriously Ill
Child), Child Protection Course, EDVPM (Emergency
Department Violence Prevention and Management)
•2017 : Trauma & Resus Nursing Course
• 2018 : Advanced Emergency Practice/ CIN
•2019 : Advanced Life support Course
•2020 : Airway Nurse Course
Thank you NURSE
Welcome to AUSTRALIA
 A World Class Public Health System
CLINICAL Non Clinical

Doctors Health Administration

Finance
Nurses

Policy Development
Midwifes
ICT
Paramedic
Porter/Cleaner
PT/SW/SP
 STAFF
NURSING MEDICAL OFFICER
• NUM
• Clinical NUM • Consultant (Team A/B/C)
• Educator
• CA/NP • Career MO
• Navigator/Coordinator
• Registrar MO
• CIN
• Triage • Senior RMO
• RESUS TEAM (Airway, Breathing, Circulation/
Procedure) • RMO
• Registered Nurse • Intern
• Endorced Enrolled Nurse (EEN)
• AIN (Assistent in Nursing- Equipment) • Medical Student
• Nursing Student
 STAFF
Health Worker Domestic Services

• Clerical staff
• Porter/transport/Wardie • Cleaner
• Volunteers • Domestic Services
• SP/ Dietician / OT/PT
• Radiology/CT/Lab/US/MRI
• Kitchen
• Security
 Emergency Staff Oncall/
Consult
• Trauma Team
• Stroke Team
• Cardiac Team
• NET
• Surgeon/ anaesthetic
• Mental Health
For all Suspected/ Confirmed COVID -19 :

• Menghubungi hospital (Datang sendiri/ Rujukan/

Ambulance 000)
• Masuk melalui pintu satu arah
• Screening ( test suhu badan & interview singkat)
• Cuci tangan/ Hand sanitizer
• Diberikan masker bagi pasien dan keluarga dekat
• Short education – etika batuk/bersin
Peraturan berkunjung :
• Maximum 1 pegunjung kecuali di ARIA (no visitor unless NESB, Child, confused)
• Anak dibawah 12 thn di larang
• Harus melalui screening terlebih dahulu
• Jam berkunjung di batasi hanya 30 minutes
• Orang yg sakit/ lanjut usia di larang berkunjung
• Cuci tangan/ Hand sanitizer
• Jaga jarak dg pasien/ pengunjung lain
 Categories
RESUS/BAT Calls/
1 COVID 19 ICU/HDU

2,3 ACUTE Ward

TRIAGE
4 Ward/home
Subacute

5 Ward/home
Fastrack
 DIRTY CLEAN

Awaiting Room
ARIA RESUS Awaiting Room

RESUS ARIA

Ambulance TOC ACUTE

Acute ARIA

Subacute ARIA
Subacute
Fasttrack EDSSU
Paediatric ARIA
Paediatric
• Isolasi (room, hospital gown, mask)
• Antipyretic/ antiemetic
• IVC/Blood Test/CXR/ Viral swab PCR
• Slowly rehidrasi (500mls)
• O2 Therapy (maintains >94%)
• HFNP,BIPAP/CPAP, Neb (not recommended)
• No suction
• Start IVABx for sepsis due to CAP
• Bila tdk mungkin dilakukan di ICU
• Harus dilakukan di ruang negative
pressure
• Full PPE + double gloves+ prepare drug +
equipment
• 2 hands pre oxygenation with mask (no
begging/suction)
• Stopped oxygenation prior to intubate
• 2 hands hold bougie to pull with gauze
and throw in the bin
• connected to ventilator with tape and in
catheter/ suction
 References :

• Nsw health website link :

https://www.health.nsw.gov.au/Infectious/alerts/Pages/coronavirus-
faqs.aspx?fbclid=IwAR3J9sA0YVgKmeIXduJM-
raZGPorcC8u7A8_S7Z6J66VJZRORk7cQZgxZQI#2-1
• Coronavirus Disease 2019 (COVID-19). Centers fo Disease Control and Prevention
2020 link: https://www.cdc.gov/coronavirus/2019-ncov/index.html
• Yee J et al. Novel coronavirus 2019 (COVID-19): Emergence and Implications for
Emergency Care. Infectious Disease 2020. link :
https://onlinelibrary.wiley.com/doi/full/10.1002/emp2.12034
• Infection Prevention and Control Novel Coronavirus 2019 (2019-nCoV)- Hospital
Setting.NBMHPolicy2020
• WHO website link : https://www.who.int/emergencies/diseases/novel-
coronavirus-2019
• Link : https://mynepean.wordpress.com/2020