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WELCOME

WELCOME. I Made Winarta , SKM.,M.Epid MEDICAL PLANNER. Chief Medical Officer. Admin Officer. Medical Officer (vacant). FORCE MEDICAL OFFICER (Deputy CMO) Lt. Col. (Dr). Admin Assistant. Chief Hygiene Officer Lt. Col. (Dr) Force. Medical Officer. Medical Officer.

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WELCOME

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  1. WELCOME I Made Winarta, SKM.,M.Epid MEDICAL PLANNER

  2. Chief Medical Officer Admin Officer Medical Officer (vacant) FORCE MEDICAL OFFICER (Deputy CMO) Lt. Col. (Dr) Admin Assistant Chief Hygiene Officer Lt. Col. (Dr) Force Medical Officer Medical Officer Medical Officer (OPS) Maj. (Dr) Force Pharmacist IC International Nurse Medical Planner Lt Col (Dr) Force Local Nurse Local Nurse Ambulance Driver Warehouse Clerk 4 Naval MOs 9 MTF Ships Maritime Task Force Battalion - SMOs 18Senior M. O. Level 1 Clinic Force C. O. of Level II and 1+ Hospitals CHINMCEDOY UNIFIL HQ Hospital Force

  3. UNIFIL MEDICAL FACILITIES

  4. St George Hospital Beirut Referral Hospitals Rafik Hariri Hospital, Beirut BEIRUT SAIDA Hammoud Hospital, Saida TYRE ISRAEL Jabal Amel Hospital Tyre UNIFIL MEDICAL SECTION

  5. Rafik Hariri Hospital (L4),Beirut

  6. St George Hospital (L4),Beirut

  7. UNIFIL MEDICAL FACILITIES RHH ST GEORGE HAMMOUD HOSPITAL UNIFIL HOSPITAL LEVEL 1+ CHINESE HOSPITAL LEVEL 2 18 HOSPITAL LEVEL - 1

  8. 79 medical doctor officers(include 7 dentists) • 135 beds of which 5 are ICU beds • 85 ambulances with emergency equipmentof which 32 are hard skin • Helicopters with 2 x AMET standby 24/7 for CASEVAC Overview UNIFIL Medical Resources in AO • 316 medical personnel

  9. LEVEL 1 HOSPITAL Primary Health Care Emergency Resuscitation and Stabilization Minor Surgeries under local anesthesia Hospitalize up to 5 patients for 2 days 18 Level 1 Hospitals as on date.

  10. LEVEL 1 HOSPITAL

  11. LEVEL 2 HOSPITAL Emergency Resuscitation and Stabilization Limb and Life Saving Surgery under General Anesthesia Dental Services Hospitalize up to 20 patients for 7 days ICU care for 2 patients Chinese Level 2 at UNP 7-2 Level 1+ at Naqoura

  12. LEVEL 2 HOSPITAL PERSONNEL OF LEVEL 2 & 1+ HOSPITAL

  13. LEVEL 2 & 1+ HOSPITAL CHINNESE LEVEL 2 UNIFIL L 1+ Hospital 1x ENT 1X OPHTHALMOLOGIST 1X ANAESTHETIST 1X INTERNIST 1X ORTHOPEDIC 2X RADIOLOGIST 2X SURGEON 1X DENTIST GYNAECOLOGIST (NOT) 9xNURSES 8XPARAMEDICS • 3x SURGEON • 4x INTERNIST • 1x OPHTALMOLOGIST • 1x ENT • 1x RADIOLOGIST • 1XGYNAECOLOGIST • 1x DERMATOLOGIST • 1x ANAESTHETIST • 1XPATHOLOGIST • 2XGENERALIST • 2XDENTAL SURGEON • 20X NURSES

  14. FACILITY & EQUIPMENT CHINNESE LEVEL 2 UNIFIL HOSPITAL 1X OPERATING THEATER 5X WARDS (11X BEDS) 3X ICU 1X X-RAY ROOM 1X LABORATORY 1X DENTIST ROOM 5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM NOT AVAILABLE : OPHTHALMOLOGIST SURGERY INSTRUMENT AND OPERATING MICROSCOPE • 1X OPERATING THEATER • 7X WARDS (20X BEDS) • 2X ICU • 1X X-RAY • 1X LABORATORY • 1X DENTIST ROOM • 5X SPECIALIST ROOM • 1X PHYSIOTHERAPY ROOM

  15. LEVEL 3 HOSPITAL Advanced field Hospital HAMMOUD Hospital in SAIDA covers all Area of Operation in the case of emergency (Casevac) Comprises a fully equipped and staffed multi-disciplinary (advanced) field hospital which provides all major medical and surgical specialities Provides advanced services in surgical, intensive care, dental (emergency dental surgery), laboratory, x-ray, ward and pharmaceutical capabilities

  16. LEVEL 4 HOSPITAL Outside the Area Operations, Covers the entire mission Area A Level Four medical facility provides definitive medical care and specialist medical treatment unavailable or impractical to provide for within a Mission area. This includes specialist surgical and medical procedures, reconstruction, rehabilitation and convalescence. RHUH (no Helipad) – Beirut St. George Hospital (Helipad) - Beirut Rambam Hospital (Helipad) – Haifa, ISRAEL

  17. AERO MEDICAL EVACUATION TEAM (AMET) The AMET is a highly mobile medical unit of six staff that is configured and equipped to provide short-term medical support during air evacuation within the country and outside. The AMETs are divided into 2 parts: French’s AMET (Naqoura HQ) & Chinnese’s AMET (HQ Sector East :7-2) French’s AMET have 2 groups, but they only have 1 (one) medical equipment.

  18. Incident Medical Management Principle : 20 min life saving : maximum 20min before doctor sees a casualty Principle : GOLDEN HOUR : maximum 60min before surgery if necessary

  19. Level IV Hosp’s BEIRUT 45’ 45’ Level III Hosp SAIDA 40’ 40’ H 20’ 40’ 30’ 25 20’ 20’ 20’ H 15’ H 19 UNIFIL MEDICAL SECTION

  20. Casevac/Medevac Level - I Level - II POI Level – III/IV DEPEND ON CASE Referral hospitals L3/4 Lebanon, ISR or CYP

  21. CASEVAC CASEVAC (2010): 6 Hotel Deu Hospital, Beirut : 4 Hammoud Hospital, Saida : 2 CASEVAC (2011) : 29(80% Injury) Rafik Hariri Hospital, Beirut : 4 Hammoud Hospital, Saida : 25

  22. UNIFIL HOSPITALNAQOURA

  23. Chinese Level II Hospital

  24. MEDICAL STAFF AID 3A OUTPATIENTS Jan - Dec 2011 Jan - Dec 2012 60,948 42,477

  25. OUTPATIENT

  26. MEDICAL STAFF AID 3B OUTPATIENTS Jan - Dec 2010 Jan - Dec 2011 43,922 49,483

  27. OUTPATIENT BY DISEASE BY DISEASE IN 2010 BY DISEASE IN 2011

  28. MEDICAL STAFF AID 3A INPATIENTS Jan - Dec 2011 Jan - Dec 2010 852 1,205

  29. INPATIENT

  30. INPATIENT BY DISEASE BY DISEASE 2010 BY DISEASE 2011

  31. SURGERY SURGERIES IN 2011 SURGERIES IN 2012

  32. ADMISSION IN L 2 &1+ HOSPITAL

  33. ADMISSION L3/L4 HOSPITAL

  34. REPATRIATION Jan - Dec 2011 Jan - Dec 2012 65 Cases 70 Cases

  35. Repatriation by Caused BY CAUTION TABLE CHART

  36. REPATRIATION 2013 BY CONTRY

  37. REFFERAL Jan - Dec 2011 Jan - Dec 2011 274 Cases 222 Cases Exclude : Dental & Routine examination

  38. MEDICAL PROBLEM Medical structure is unclear Timely replacement of doctor/nurse/SO Surgery team should be from one country Medical section need one more vehicle to support medplan & Chief hygiene for ORI and COE inspections.

  39. THANK YOU THANK YOU

  40. MEDICAL PLANNER Major I Made Winarta, SKM.,M.Epid

  41. INTRODUCTION Name : I Made Winarta,SKM.,M.Epid Rank : Major Age : 39 years old Status : Marriage/ 4 DAUGHTER Last Posting : Eastern Fleet Command, Jkt Unifil Job : Medical Planner

  42. JOB DESCRIPTIONS ASSIST FMO TO ARRANGE THE MEDICAL SUPPORT PLAN ASSIST FMO TO MAKE DECISION IN MASCAL CASUALTY ASSIST FMO TO CONDUCT CASEVAC AND ORGANIZE BASIC LIFE SUPPORT ASSIST FMO TO CONDUCT SMO CONFERENCE COLLECT WEEKLY MEDICAL REPORT ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL HOSPITALs in AO. COORDINATION WITH ALL SMO IN AO

  43. JOB DESCRIPTIONS ASSIST FMO PREPARING AND EXECUTING THE MEDICAL SUPPORT PLAN TAKE PART TO UPDATE OF UNIFIL MEDICAL SOP COORDINATE WITH CIMIC PLANNER DURING MEDICAL ASSIST PROGRAM FOR LOCAL PEOPLE ASSIST CMO AND FMO IN PLANNING UNIFIL PREPAREDNESS TO TACKLE H1N1 PANDEMIC THREAT

  44. Duty Performed HAVE CONDUCTED WEEKLY MEDICAL REPORT CONDUCTED CASEVAC/MEDEVAC AND EXERCISE CONDUCTED EXERCISE OF CASEVAC IN SEAGULL TRAINING (MTF PROGRAM) CONDUCTED SMOs CONFERENCE in MCC NAQOURA CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE OFFICER IS LEAVING CONDUCTED INSPECTION OF L1&2 HOSPITAL IN AO ARRANGE FOR AMET TRAINNING WITH MAOC MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET FOR FMO, MED OPS AND HYG OFF

  45. DUTY PERFORMED COORDINATION WITH SMO ABOUT RESULT OF DISEASE IN THEIR AO (MSA 3 B)& THEIR PROBLEM

  46. PLANNING IN 2014 TO ARRANGE SMOs CONFERECE, Wednesday, 22/08/2014 in Naqoura. TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR SMO & NURSES SUCH LIFE AID,USING INSTRUMENTS SUCH AS LARYNGOSCOPE, INTUBATION, DEFIBRILATOR, INFUS PUMP, USING OPHTHALMOSCOPE etc in L1+ & L2 . TO CONDUCT SMOs MEETING EVERY ONCE/ MONTH IN L1&2 UNIFIL HOSPITAL. TO CONDUCT MULTIPLE CASEVAC EXERCISE IN AO

  47. PLANNING 2014 TO MAKE GUIDELINE BOOK OF CASEVAC FOR SMO TO PERFORM ORI AND COE INSPECTION TO MAKE REPORT OF MEDICAL WEEKLY, MONTHLY MEDICAL (3 MONTH) AND YEAR MEDICAL REPORT TO ASSIST FMO FOR UP DATE MEDICAL SOP AND AMANDEMENT CASEVAC/MEDEVAC SOP

  48. Thank you for your attention 48

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