CRAFTINGTHEROUTETOEMERGENCYNURSINGSPECIALISATIONININDONESIANs.ArcelliaFarosyahPutri,S.Kep.,MSc

IndonesianEmergencyandDisasterNursesAssocia?on–HQ

BACKGROUND

•  ShiCingroles•  Complexityofthehealthcaresystemanddiseases

•  EDCharacteris?cs

EMERGENCYNURSINGPROFESION

Licensure

Cer?fica?on

Accredita?on

SERVICE

EDUCATION

REFERENCES

1.  NursingactNo.38year20142.  PMKNo.40year2017Nurse’sCareerPathway

3.  CPDGuideline:PedomanPKBPerawatIndonesiaEdisi2Tahun2016PP-PPNI

CONTINOUSPROFESSIONALDEVELOPMENT

EmergencyNursesEducationandTrainingRegulaKon

1.  StandardofCurriculum

2.  StandardofTrainer3.  StandardofLearningFacilityandMedia

4.  StandardofMonitoringandevalua?on

StandardofCurriculum

NO TYPES STATUS

1. MOT ✗

2. TOT ✓

3. BasicLifeSupport ✓

4. BasicTraumaCardiacLifeSupport ✓

5. EmergencyNursingBasic,Intermediate,AdvancedLevel ✓

6. FluidResuscita?on ✓

7. TriageOfficer ✓

8. MinorSurgical ✓

9. AmbulanceNurse ✓

10. IVTherapy ✓

11. DisasterBasicLevel ✓

12. DisasterAdvancedLevel ✗

StandardofTrainerNO SourcePerson Instructor1. Min.BachelorofNursing(Ners) Min.Diploma2. Clinicalexperience:min.5years ✓3. Relatedtrainingcer?ficate ✓4. Updatedemergencytraining

cer?ficatemin.every2years✓

5. TOTcer?ficatemin.3years ✓6. NIRAandHIPGABImember ✓

StandardofLearningFacilityandMedia

StandardofMonitoringandEvaluaKon

1.  Process:facility,facilitator,andlearningprocess

2.  Trainee:Learningoutcomeandcompetency

3.  Assessmentprocess:measureobjec?vityandassessthequalityofcompetency

4.  Cer?ficateofcompetencies:con?nueevery6monthor1yearofavalidcer?fica?on

StandardofMonitoringandEvaluaKon

NO COURSECONTENT TIME Q

T P PL SUM %

1 FUNDAMENTALa.  Policyandregula?ontowardsENPb.  Con?nousprofessionaldevelopmentc.  Emergencynursingconcept

212

010

000

222

4%4%4%

2 COREa.  Emergencynursingcareplan(ENCP)b.  Ini?alassesmentc.  Airway&breathingmanagementd.  BasicLifeSupporte.  ENCP:Hypovolemicshockf.  ENCP:ACSg.  ENCP:Trauma

1112225

3326238

0000000

44384513

9%9%6%17%9%10%28%

TotalCredit 19 28 0 47 100%

EmergencyNursing–BasicLevel

StandardofMonitoringandEvaluaKon

EmergencyNursing–BasicLevelCORE2(INITIALASSESMENT)

• Learningobjec?ve:• Explainhowtoperformini?alassesment• Iden?fyproblemsinABCDE• Performini?alassesment

StandardofMonitoringandEvaluaKon

EmergencyNursing–BasicLevel

Seoranglaki-lakiberusia30tahundiantarkeUGDdenganhasilfotothorakmenunjukkantensionpneumothorax.Pasienmengeluhsesaknapas,menggunakanototbantunapas,danfrekuensinapas35x/menitdangkal,trakeaterdorongkearahyangsehat.

Apakah?ndakanemergensipadapasien?

Example

CERTIFICATIONSYSTEM

CredenKalLink Quality

CareerPathway

Competencystandard/cer?fica?on

Competency-authority–poriolio

QualityStandardofENCP

PK1 1.  Cer?fica?onandassessment

2.  Creden?alofclinicalauthoritysystem:directed,supervised,andindependent

3.  Clinicalauthorityandporiolio

PK2 ENBasic

PK3 ENIntermediate

PK4 ENAdvanced/Specialist

PK5 ENSpecialist/Consultant

CERTIFICATIONSYSTEMPathway:CerKficaKonProcess

CareerPathway

Competency Process CerKficaKon

PKI(Intern)0–4(D3)0–2(S1)

Novice LOGBOOKPKI

Beginner 3Monthsinternshipàcompetencyassessmentandcer?fica?onforENBasic

1.  ENBL 2.  Ethicsandlegal

ENP 3.  Therapeu?c

communica?on

CERTIFICATIONSYSTEMPathway:CerKficaKonProcess

CareerPathway

Competency Process CerKficaKon

PKII ENBasic1(Clinicalauthority:supervised)

1.  3Monthsinternshipàcompetencyassessmentandcer?fica?onforENBasic(internal/external)

àassessmentBASIC(HIPGABI)

2.  Begincreden?alPKII

1.  TEAMWORK 2.  NEWSand

dataanalysisinED

3.  Emergencynursingcareplan

CERTIFICATIONSYSTEMPathway:CerKficaKonProcess

CareerPathway

Competency Process CerKficaKon

PKII ENBASIC2(Clinicalauthority:independent)

1.  Clinialauthorityandassignment:intermediate

2.  Competencyassessment:intermediate

3.  Competencycer?fica?on:intermediate

1.  ENINTERMEDIATE

2.  BASICSURGICALSKILL

3.  IVTHERAPY/FLUIDRESUSCITATION

CERTIFICATIONSYSTEMPathway:CerKficaKonProcessCareerPathway

Competency Process CerKficaKon

PKIII INTERMEDIATE1(Clinicalauthority:independent)

1.  1Monthsintermediateinternshipàcompetencyassessmentandcer?fica?onforintermediatelevelàintermediatecer?fica?on:HIPGABI

2.Begincreden?alPKIII

CNE 1.  ENIL 2.  TRIAGE

OFFICER 3.  CIinED 4.  EDand

disastermanagement

CERTIFICATIONSYSTEMPathway:CerKficaKonProcess

CareerPathway

Competency Process CerKficaKon

PKIII INTERMEDIATE2(Clinicalauthority:independent)

1.  Clinialauthorityandassignment:advanced

2.  Competencyassessment:advanced

3.  Competencycer?fica?on:advanced

4.  CNEintermediate

1.  ADVANCEDENCARDIO

2.  ADVANCEDENNEURO

3.  ADVANCEDENTRAUMA

4.  ADVANCEDENPD 5.  ADVANCEDEN

PEDIATRIK 6.  MANAGEMENT

BENCANA 7.  PENGEMBANGAN

RISET

CERTIFICATIONSYSTEMPathway:CerKficaKonProcess

CareerPathway

Competency Process CerKficaKon

PKIV ADVANCED SP1GADAR

CNEforADVANCED SPECIALIST(COLLEGIUM)

PKV CONSULTANT SP2GADAR 1.  SPECIALIST(COLLEGIUM)

2.  DOCTORAL(COLLEGIUM)

CERTIFICATIONSYSTEMPP-PPNIISSUES1.  Cer?ficateofalendence2.  Cer?ficateofcompetence

3.  Lelerofrecogni?onàsuratketeranganpengakuanlembaga:providerpela?han

CERTIFICATIONSYSTEMPathway:RequesKngNurseCreditPoint(SKP)

Organiser(HIPGABIProv,

Provider)-Proposal-Recommenda?onfromDPW-PPNI(1monthprior)

PP-PPNI

PP-HIPGABI(ReviewTeam)

PP-PPNI(ReviewTeam)

Organiser(NoSKP)

CERTIFICATIONSYSTEMPathway:RequesKngcerKficateofcompetence

Organiser(HIPGABIProv,

Provider)-Proposal-Recommenda?onDPW-PPNI(1monthprior)-Reques?ngcer?ficateofexper?se

PP-PPNI-Listofalendance-Preandpostscore-SkillSitescore-NIRA

PP-HIPGABI(ReviewTeam)

PP-PPNI(ReviewTeam)No.

experKsecerKficate

Organiser-CerKficateofexperKse

EMERGENCYNURSINGSPECIALISTPROGRAMME

COLLEGIUM

NurseSpecialistCompetencyRevision:2017

(5DomainsoftheASEANNursingCommonCoreCompetencies)1.  Ethicandlegalprac?ce

2.  ProfessionalNursingPrac?ce

3.  LeadershipandManagement

4.  Educa?onandResearch

5.  Professional,Personal,andQualityDevelopment

COLLEGIUM

NurseSpecialistCompetencyProfessionalEmergencyNursingPrac?ce

1.  TriageandIni?alAssessment

2.  Lifesavingandstabilisa?on3.  Psychosocialemergency:abuse,suicide,violence,and

forensic

4.  Endoflifecareandacutegrieving

THETREEOFKNOWLEDGE

Pediatric Adult Maternity Geriatric Command/Coordination

DisasterCycleManagement

VulnerablePopulation

Daily/Mass Disaster

AdultNursing PsychiatricNursingCommunityNursing MaternityNursingPediatricNursing BasicEmergencyNursing

ROOT

BiomedicalBasicNursingConceptGeneralistNursingCarePlanResearchEthicandLegalPractice

EndofLifeCareandAcuteGrievingEthicandLegalPractice

IntraHospital PreHospital

TRU

NK

BRANCH

Profesional,Personal,andQualityDevelopment

EducationandResearchLeadershipandManagement

ProfessionalNursingPracticeTriagedaninnitialassessmentLifeSavingandStabilisation

EmergencyPsychosocial:abuse,suicide,violence,andforensic

CardiovascularSpinal RespiratoryHead Neurology

Trauma Non-Trauma

TWIG

DisasterManagementIntegumentum

DisasterManagement UrologyMusculosceletal Gastrointestinal

Abdomen EndocrineChest

TERIMAKASIH