EMERGENCY

MANAGEMENT Group 2 :
-Dwi Wahyu Prihatin
-Irma Rakhma Maulani
 Definition of KGD
A series of emergency nursing practice activities provided by
competent nurses to provide nursing care in the emergency room.
PRINCIPLES OF KGD

Republic of Indonesia Law NO 44 concerning Emergency

Hospitals is the clinical condition of patients who require
immediate medical action to save lives and prevent further
disability.
 Principle

– Fast and precise handling

Advanced.. – Help was immediately provided by anyone who found the patient

Goal: fast and appropriate help to (lay, nurse, doctor)

prevent death or disability
Includes actions:

A. Non-medical: How to ask for help,

transportation, preparing tools.

B. Medical: Medical abilities in the form of knowledge and skills: BLS, ALS
 – Conduct a Primary Survey, then continue
SCOPE OF with Secondary Survey
EMERGENCY – Using ABCDE stages in primary
NURSING survey
– Resuscitation in emergency cases
 a place/unit in a hospital that has a work team with special
Emergency abilities and special equipment, which provides emergency
patient services, is a series of organized efforts to handle
departments emergency patients
 #Patients who are at risk of having their lives threatened and
becoming disabled suddenly
#Characteristics of emergency patients
Emergency ◦ need help immediately, quickly,precise and safe

patient ◦ have pathological problems,psychosocial, environmental, family

◦ can't wait for the information
◦ Unique
 a) The person closest to the patient
b) Most aware of the patient's progress while being treated sign
c) sign of emergency
Emergency ◦Able to recognize symptoms and help before the doctor arrives
nurse ◦Responsible for developments and actionshave been
donerecording
◦Think and take initiative
 MINIMUM CAPABILITY OF ER WORKERS (Ministry of
Health Guidelines 1990)
◦ Opening & freeing airway
Competency of ◦ Give pulmonary ventilation & oxygenation (breathing)

emergency ◦ Give cardiopulmonary resuscitation

nurses ◦ Stop bleeding

◦ Splinting, transportation
 resuscitation drugs
◦ Perform recording & interpreting basic ECG

CAPABILITIES OF ER NURSES (NURSING WORK

Introduction & GUIDELINES, Ministry of Health 1999:)

use –ABLE TO KNOW PATIENT CLASSIFICATION:

–ABLE TO TREAT EMERGENCY PATIENTS
–Able to carry out ASKEP RECORDING & REPORTING.
–ABLE TO COMMUNICATE: Internal, External
 
a) Emergency services are very time sensitive
b) The success of handling is limited by critical thinking and
decision making abilities

Uniqueness of c) Services are carried out with a team approach

d) The patient's physical and psychological condition is in critical
Emergency condition

Services e) The service area is very wide, emergency conditions can occur
anywhere
f) Covers unpredictable prehospital areas and involves many
parties
g) High social expectations
 •Roles that must be present: leader, airway, breathing, circulation
•The number and distribution of roles depends on hospital

Resuscitation conditions and policies

team •The division of roles must be clear and understood by each team
member
•Communication must be closed (clear goals and instructions)
 ASSESSMENT
Concise, systematic, easy to understand according to primary

emergency and secondary survey principles NURSING DIAGNOSIS Life-

threatening problems, emergency conditions NURSING PLAN

nursing care Leads to life saving and prevention of disability NURSING

IMPLEMENTATION Fast, precise, agile, skilled according to
emergency priorities
 Handling emergencies or disasters contains meaning
efforts through establishing plans specifically for the health sector
Required by patients or emergency victims, given within the required time
quickly to save lives and prevent disability. The team that
Treatment is an inter-professional team consisting of nurses, doctors and
health assistant.

This treatment is not an effort reveal or eliminate threats that could cause

Emergency emergencies or disasters, but focus on establishing plans to overcome emergencies or

disasters. Failure to develop appropriate plans to deal with emergencies or disasters

Management can cause disability, human death and loss of income and damage to assets.

Treatment given to victims is given as soon as possible in order to avoid the risk of

disability and/or death. Treatment begins at the scene of the incident and is referred to

as triage one or pre-health care facility handling, then continues in the gathering area

for the evacuation and transportation process to the Emergency Installation which is

referred to as triage two or intra-health service facility handling, and then enters ER

terrace area as triple triage or handling between health service facilities

  Definitive or clearly stated activities begin when the victim
arrives at the emergency room (Regulation of the Minister
of Health of the Republic of Indonesia No. 19 of 2016).
The location of the incident can be a home, workplace,
school, residential care facility and other facilities or in a
public place. Whatever the location of the incident, an
assessment of the location is carried out first. The results
Emergency obtained indicate what problems have occurred, injuries

Management or illnesses which are informed via communication tools

to the nearest Emergency Room. Upon the team's arrival
at the incident location for pre-health care facilities to
evacuation and transportation, personnel will determine
the safety of the incident location, whether there are
dangers or risks, how many victims, the nature of the
disease, the mechanism of injury and the need for
assistance.
  These personnel need to quickly assess and state what
type of incident occurred, small scale or large. The team
often works together with other emergency services such
as police and firefighters. After carrying out the
evacuation process and transportation to the Emergency
Installation, treatment continues within the health service
facility or in the ER. The Emergency Department is a
Emergency workplace where you have to work fast and the conditions

Management are unpredictable and the situation can often be very

emotional. Therefore, nurses working in these
installations must thrive in a fast, exciting and predictable
environment in the matters they handle. Nurses must be
proficient in assessing, recognizing problems and caring
for patients throughout the 26 Emergency Nursing
Concepts and Systems life cycle with undiagnosed
disease or illness. (Holbery, N., Newcombe, P., 2016).
ThankYou