Qatar Ingin Tambah Tenaga Kesehatan dari Indonesia

Qatar Ingin Tambah Tenaga Kesehatan dari Indonesia

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Diah (24) dan Dwi (23), dua kakak beradik yang ikut berangkat ke Jepang, sebagai tenaga kerja profesional untuk posisi pendamping lansia.

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Senin, 17 November 2008 | 23:09 WIB

LONDON, SENIN - Menteri Kesehatan Qatar Dr. Sheikha Ghalia membahas kemungkinan Indonesia mengirim lebih banyak lagi tenaga kesehatan seperti dokter dan perawat ke Qatar.

Hal itu terungkap pada pertemuan Menteri Kesehatan Qatar dengan Dubes RI Rozy Munir di Kantor Kementerian Kesehatan Qatar yang merupakan kementerian baru, belum lama ini, kata jurubicara KBRI Doha, Ahmad Sudradjat di London, Senin (17/11).

Menurut Ahmad Sudradjat, dalam pertemuan itu Dr Sheikha dan Dubes Rozy Munir membahas kemungkinan Indonesia mengirimkan lebih banyak lagi tenaga kesehatan ke Qatar. Sampai saat ini tenaga kesehatan Indonesia khususnya perawat yang bekerja di Qatar berjumlah 64 orang. Mereka bekerja di pusat kesehatan di bawah naungan perusahan minyak dan gas Qatar.

Dalam pertemuan tersebut, Dubes mengharapkan ada peluang tambahan bagi dokter dan perawat Indonesia di Qatar khususnya dalam kerangka peningkatan kerjasama antarkedua negara di bidang kesehatan.

Menkes Qatar menyambut baik keinginan tersebut. Dalam kaitan itu, dia pun akan mengirimkan delegasi untuk mengikuti 'workshop' kesehatan di Jakarta yang mengambil tema "Peluang dan Kesempatan kerja bidang kesehatan di kawasan Timur Tengah" pada Desember mendatang.

Menteri juga mengharapkan perlunya peningkatan kemampuan bahasa Inggeris dan Arab di kalangan calon tenaga kesehatan Indonesia yang akan dikirimkan ke Qatar. Dalam pertemuan yang berlangsung dalam suasana akrab itu Menteri juga mengungkapkan rasa kekagumannya terhadap potensi wanita Indonesia, karena banyaknya kaum wanita yang menjadi pejabat di kementerian, kabinet, di gubernuran, dan juga menjadi bupati di Indonesia.

Diakuinya di kawasan di Timur Tengah, kondisi tersebut belum dapat diterima secara baik, terutama oleh kalangan ulama konservatif.

AC
Sumber : Antara

The EMS Contrarian by Bryan E. Bledsoe

Danger at the Door

I am a proponent of EMS personnel having a more independent practice. The days of calling “Rampart Hospital” for an order of “D5W TKO” is a thing of the past. I truly feel that most of our educational programs are strong enough to support independent decision-making by EMTs and paramedics. But it is important to remember that independent decision-making also requires one to take responsibility for their decision and actions. This is somewhat of a new concept for EMS personnel.

One area where independent decision-making has been delegated to EMS personnel is selective spinal motion restriction (spinal immobilization). There is an excellent body of research that shows that the application of an established protocol allows EMS personnel to accurately and safely determine which patients should be immobilized and which should not. We have added it to our textbooks and many EMS systems have adopted it.

Spinal immobilization is uncomfortable and can cause complications in certain patients. Thus, like any other skill or procedure, it should be used when the patient stands to benefit from it. That is, when the patient has the possibility of a spinal injury. Certainly, with spinal injuries, we want to be extremely cautious and should have a high index of suspicion. Likewise, we don’t want to subject a patient to unnecessary discomfort and pain.

Unfortunately, a few trauma centers are reporting an increasing number of patients with spinal injuries who were not immobilized by EMS. At one hospital (on the east coast), 13.5 percent of patients with a documented spinal injury were not immobilized in the prehospital setting. The trauma outreach coordinator, an experienced paramedic, reviewed each case and found that each patient had met the criteria for spinal immobilization in the prehospital setting. That is a scary figure. Although it is just one hospital in one state, I have heard increasing talk amongst EMS medical directors about their concerns with the application of spinal immobilization.

Now, let’s look at this a little more closely. In the system where 13.5 percent of patients with spinal injury were not immobilized, a policy was in place to allow EMS personnel to determine who should be immobilized and who should not. The premise is that all patients should be immobilized unless they meet the criteria to bypass immobilization. The protocol requires that EMS personnel complete a structured, standardized exam (e.g. altered LOC, spinal pain or tenderness, neuro deficit, distracting injury). If the patient meets any of the established criteria, they must be immobilized.

So in 13.5 percent of the cases, EMS personnel performed an exam and came to the conclusion that immobilization was not necessary. Thus, from a negligence standpoint, this was an act of commission and not an act of omission. A jury would probably look more unfavorably on an act of commission. In reality, what this tells me is that some EMS personnel are NOT properly applying the protocol or applying it selectively. The protocol only works if applied in a standardized fashion—the same, each time and objectively—to ALL trauma patients.

EMS personnel want more autonomy, but autonomy requires integrity. Integrity is what you do when nobody is looking. Medicine requires an extremely high degree of integrity; shortcuts in medicine can harm people. In emergency medicine, we assume a patient has a severe injury until proven otherwise. It is the only safe way to approach things in a short period of time. This same adage holds true in EMS.

Quality monitoring in EMS should detect issues such as this — this is how the trauma system detailed above discovered the 13.5 percent miss rate — but quality monitoring must be applied uniformly and EMS personnel must be given the results on a regular and constructive basis. Personnel who are taking short cuts and making clinical assumptions should be counseled. This spinal immobilization trend may well turn out to be like the trend we saw in the late 1990s with unrecognized esophageal intubations. It cannot be tolerated.

There are many of us working to improve EMS. More pay and more independence are needed, but these come with the associated responsibilities. It is frustrating in that every time we make some progress, EMS finds a way to shoot itself in the foot and set things back. Let me close with this: Every time you are using a selective immobilization protocol, assume that the patient is a member of your immediate family. Apply the protocol systematically and uniformly. If in doubt, immobilize. Please, let’s not take another step backwards.

" src="http://www.ems1.com/data/img/btn_go.gif" align="absmiddle" border="0" height="16" width="16"> Related Resource: Spinal Assessment Protocol — Maine EMS

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Bryan E. Bledsoe, DO, FACEP, EMT-P is an emergency physician, paramedic and EMS educator. Dr. Bledsoe is the principal author of the Brady paramedic textbooks and others. He has more than 20 years publishing experience and has more than 900,000 books in print and has written more than 400 articles. He is a prolific writer, popular lecturer, and EMS researcher. Dr. Bledsoe is currently developing a distributive educational program for initial EMS education through the University of Nevada Las Vegas and online continuing education through Paramedic.com. Dr. Bledsoe maintains residences in Midlothian, Texas and Las Vegas, Nev. To contact Dr. Bledsoe, email bbledsoe@earthlink.net.

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Cinta Suami, Sadarkan Perempuan Koma 30 Tahun

Cinta Suami, Sadarkan Perempuan Koma 30 Tahun

Sabtu, 8 November 2008 | 09:03 WIB

BEIJING, SABTU - Seorang perempuan sadar dari koma selama 30 tahun berkat cinta yang tak tergoyahkan dan perawatan telaten suaminya di E'zhou, provinsi Hubei.

Para dokter percaya cinta Chen Dulin, yang baru-baru ini terpilih sebagai salah seorang suami teladan di provinsi tersebut, telah menolong Zhao Guihua sadar dari koma panjangnya.

Paru-paru, jantung dan tekanan darah Zhao stabil setelah ia menjalani pemeriksaan menyeluruh.

Zhao jatuh koma setelah satu kecelakaan tiga dasawarsa lalu, tapi Chen tak pernah putus asa buat istrinya dan merawatnya di rumah setelah sang istri menjalani dua operasi.

Sejak itu, Chen telah telah menggunakan alat penyemprot dan pipa plastik untuk memasukkan susu, kue dari telur dan makanan cair lain ke dalam perut Zhao.

Kini, Chen, yang sudah berusia 77 tahun, tetap mengutarakan cinta kepada istrinya setiap hari.
ABD
Sumber : Antara

Four Key 'Points to Ponder' for Your Safety

Safety Zone
Rick Patrick
2008 Oct 19

Point I
Safety is personal. Regardless of the tools and training provided by your organization and/or employer, only you can make the choice of being safe. Where do you place safety in the scope of your daily duties? Nothing super cedes your safety -- NOTHING!

Point II
Seatbelts work. Do you wear your seat belt? Do you wear it when responding to emergency incidents in the fire truck, ambulance or other vehicle? Do you wear it in the back of the ambulance? If you answered no to any of these; ask yourself why? Could I have done and should I do anything different? Every time you don't wear a seat belt equates to a near-miss situation -- every time.

Point III
Personal protective equipment (PPE) must be provided by emergency service organizations for all applicable tasks warranting a risk of injury.

EMS providers performing tasks indicative of the risk of injury (extrication, patient removal from a vehicle, rescue activities in general, risk of fire, etc.) and functioning in any capacity in the danger zone of an incident, such as motor vehicle collisions, should be protected by wearing PPE. This includes coats, pants, helmets, gloves, eye protection and protective foot wear. Nothing super cedes personal safety -- NOTHING!

Point IV
Responding safely, functioning safely at the scene and returning safely are essential for everyone's safety on every incident … period.

Read more articles by Rick Patrick

Richard W. Patrick
Richard W. Patrick, MS, CFO, EMT-P, CHS III, FF, is the retired Deputy Fire Chief of Estero Fire Rescue District in Estero, Fla. He has more than 29 years' experience in emergency services. He's the former Director of EMS Programs and Emergency Service Initiatives for VFIS, a division of Glatfelter Insurance Group, York, Pa., where he remains as a consultant. Rick is a nationally known leader, educator, lecturer, author, speaker and consultant in EMS

UK woman threatens paramedic with AIDS

By Emily-Ann Elliott The Argus

SOUTH EAST COAST, UK — A woman with hepatitis C smeared blood on a paramedic's face and told him he would be infected with AIDS, the South East Coast Ambulance Service NHS Trust has revealed.

The patient was given a two-month custodial sentence for the offence which happened in Hove in September as the paramedic attempted to treat her.

The health threat to the paramedic is believed to be negligible, but the prosecution has been highlighted as part of this year's NHS Security Awareness Month.

The service recorded 69 assaults against its staff between April 2007 and April 2008 and has warned it takes a zero-tolerance policy towards violence and abuse against its staff.

Other prosecutions include a 17-year-old male who was given a three-month referral and ordered to pay £50 compensation after biting and bruising a paramedic in Uckfield in August 2008 and a man was recently jailed for four years for possession of an imitation firearm with intent to cause fear of unlawful violence after threatening a paramedic in Worthing in September 2005.

Paul Sutton, the service's chief executive, said: "We want to ensure that our staff can provide the care they need to, and patients can receive this, in an environment that is safe and secure.
"It's simply not acceptable that staff perceive abusive behaviour towards them as just a part of the job. They deserve to be able to serve their local communities in safety."

This month security specialists will visit ambulance staff to educate them on what to do if they become a victim of violence and the options available to them when dealing with abusive people.
David Dixon, South East Coast Ambulance's security management specialist, said: "We will be working throughout Security Awareness Month and beyond to raise awareness among our staff so they understand they don't have to accept abusive and violent behaviour.

"We have achieved a number of successful prosecutions this year by working with the police and Crown Prosecution Service.

"We also want staff to know that there are alternative measures available to us such as private prosecutions, civil action and ASBOs which can be taken against those who threaten them."