Materi workshop

MEMBENTUK TIM RESUSITASI YANG

BERKUALITAS

Abdul Rakhmat
 Philosophy of the culture
Menyelamatan nyawa adalah Usaha Manusia Mulia (Noble
Human)
Tidak ada tindakan tanpa pamrih sebanding dengan upaya
menyelamatkan nyawa.
Pengetahuan dan keterampilan yang diperlukan dalam
resusitasi perlu diadopsi sebagai budaya.
Kesuksesan sebuah tindakan penyelamatan sangat tergantung
pada berbagai faktor:
struktur & design "hardware"
configurasi keahlian manusia
proses kerja yang dinamis
 Code Organization-"Phase response"

Phase I : Anticipation
Phase II Entry
Phase III-Resuscitation
Phase IV-Maintenance
Phase V-Family Notification
Phase VI-Transfer
Phase VII-Critique
 The Critical Success Factor of Resus Team

Design "resuscitation suite" yang kondusive dan ergonomik

"Kock PitHD Cockpit Scenes - 737 Start Up.mp4

Dirancang design penempatan peralatan dan obat-obatan

Team resusitasi yang terlatih dan dinamis dalam menciptakan

budaya "working in horizontal task and effort distribution"
Pendekatan yang holistik dan multidisiplin dalam pemberian
pertolongan
 Concept of Emergency Resuscitation Team

1.Static critical components

Component: the critical equipments
Environment: modular resus bay
Matrix: the golf swing and pit-stop ergonomic

2.Dynamic critical components

Work process - the algoryhtm
Configuration : the horizontal task distribution
Dynamic interaction: the activity & movement
 The Team Resuscitation Approach

A team approach increases resuscitation

success.
Effective communication
Team work

Team leader responsibility for ensuring that

things get done in the:
Right way
At right time
And right person
Elements of effective resuscitation team dynamics

1.Closed-loop communication
2.Clear Messages
3.Clear roles and responsibilities
4.knowing One's limitation
5.knowledge sharing
6.constructive intervention
7.reevaluation and summarizing
8.mutual respect
 Role of the Team Members
Clear about role assigment
Prepared to fulfill role responsibilities
Well practiced in resuscitation skills
Knowledgeable about the algorithms
Committed to success

Team leader: Most experience person

Decision maker
Identifiable

Other team members

depending on their position and individual ability
perform tasks according to the patient's needs NOT according to
their expertise only
perform the task based upon TQM and client focus treatmen
 Role of team Leader

Organizes the group

monitors individual performance of the team
members
backs up team members
model excellent team behavior
trains and coaches
facilitates understanding
focus on comprehensive patient care
Ensure safety
 The Team Leader
The team leader should acts as conductor of the orchestra
Responsibilies of the team leader:
obtain history from first responder / witness
direct team members in their action
establish pririties for investigation and management
order or authorize investigations and procedures
keep track of whole state the patient
receive and interpret all results of investigations
order fluid or blood administration
supervise spinal manouver
consult with other specialties
decide on appropriate disposition
talk to relative
write in the notes
record audit information
dismiss and debrief team members
educate trauma team
 Mega Code (Cardiac)
Airway - Breathing
membuka & mempertahankan jalan napas
memasang alat bantu airway & memberikan bantuan pernapasan
melakukan pemasangan advanced airway adjuct
memberikan dan mempertahankan oksigenasi & ventilasi
Support Airway breathing
membantu menyiapkan alat airway & breathing
menyiapkan peralatan intubasi & melakukan sellick manauver
menyiapkan peralatan intervensi emergency; (needle) cricotirodotomy,
chest tube, pericardiosintesis
dapat bertindak sebagai compressor
Circullator
memonitor fungsi sirkulasi
memasang peralatan pendukung sirkulasi
melakukan kompresi
Defibrillator / Support / Runner
memasang IV Line
memberikan obat-obatan
mengukur vital sign
melakukan dokumentasi
 Mega Code (Cardiac)
Airway - Breathing Team Member
membuka & mempertahankan jalan napas
memasang alat bantu airway & memberikan bantuan pernapasan
melakukan pemasangan advanced airway adjuct
memberikan dan mempertahankan oksigenasi & ventilasi
CPR Team Member
Responsible for CPR
also back up Air way Breathing
ECG / Defibrillation Team Member
operaste AED / Defibrillator
memonitor fungsi sirkulasi
memasang peralatan pendukung sirkulasi
Defibrillator / Support / Runner
memasang IV Line
memberikan obat-obatan
mengukur vital sign
melakukan dokumentasi
 The Pit Stop Ergonomic Concept (Trauma) 5 penolong

Airway

Ass.Airway
Circullator

Leader

Runner / Support
The Pit Stop Ergonomic Concept (Cardiac) 5 penolong

Airway

Runner / Compressor +
Defibrillation Airway Support

Circullator +
Leader Recorder
The Pit Stop Ergonomic Concept (Cardiac & Trauma) 4 penolong

Airway

Leader +
Defibrillator Compressor +
airway support

Circullator + Recorder
+ airway support
 How to Build a Team

Buat Standar
Latihan / Practice
Re-Evaluasi
 The Important thing..........

Sense of Humanity (
Kehebatan Kasih Sayang.mp4)
 "Biarlah mereka mengambil
mataku, mereka mengambil
telingaku, mengambil
lidahku. Tapi ..........Tuhan
tidak akan membiarkan mereka
mengambil hatiku. walau
hanya dengan itu.....aku masih
dapat memiliki semuanya"
(Helen Keller 1880-1868)
Terimakasih