CRAFTINGTHEROUTETOEMERGENCYNURSINGSPECIALISATIONININDONESIANs.ArcelliaFarosyahPutri,S.Kep.,MSc
IndonesianEmergencyandDisasterNursesAssocia?on–HQ
REFERENCES
1. NursingactNo.38year20142. PMKNo.40year2017Nurse’sCareerPathway
3. CPDGuideline:PedomanPKBPerawatIndonesiaEdisi2Tahun2016PP-PPNI
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 ✓
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
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