Improved basic life support skills and patient transportation at ambulance drivers in Medan Tuntung and Medan Sunggal area to improve patient safety

Abstract

The technique of providing basic and quick life support (BHD) and transportation to patients with cardiac and pulmonary arrest can save a patient's life. An ambulance driver as one of the ambulance personnel should be equipped with the two forms of skills above. The aim of community service is to increase the capacity of ambulance drivers in terms of providing basic life support skills and patient transportation to improve patient safety. This training was held in September 2019, at the H. Adam Malik General Hospital Training Center Installation Medan, with 24 participants. The training is carried out with 2 methods, namely exposure to BHD theory and BHD skills training. The knowledge and skills of participants before and after the training were assessed. Pre and post assessment results were analyzed using paired t-test with a significance level of p <0.05 Ambulance drivers in the Medan Tuntung and Medan Sunggal area are mostly over 30 years old, with most working as ambulance drivers for more than 5 years. The most recent level of education is high school graduation or equivalent. The results of statistical analysis using paired t-test, obtained a significant difference in the knowledge of ambulance drivers about basic life support theory before and after training (p = 0.000). Likewise, ambulance driver skills in providing basic life support for adult patients, infants and children were significantly different before and after training (p = 0.000). Training in basic life support skills and patient transportation can increase the capacity of ambulance drivers in providing basic life support..

Skema Integrasi Pelatihan Prehospital Para Tim Ambulans Kota Yogyakarta

“…Pada kasus lainnya, pasien hanya ditemani oleh pendamping yang tidak memiliki kompetensi dalam menangani kondisi darurat ketika mobilisasi menggunakan ambulans rumah sakit atau puskesmas (Putra et al, 2019). Selain perawat ambulans dan dokter, supir ambulans dianggap orang awam yang paling dekat dengan pasien ketika mobilisasi pasien dan proses evakuasi berlangsung (Machrina et al, 2019). Pelayanan ambulans merupakan salah satu pertolongan prehospital, khususnya di Indonesia.…”

“…Pelayanan ambulans merupakan salah satu pertolongan prehospital, khususnya di Indonesia. Salah satu bentuk pelayanan ambulans merupakan pelayanan transportasi pasien rujukan dengan kondisi tertentu antar fasilitas kesehatan (Machrina et al, 2019). Dalam proses transportasi, upaya untuk menjaga kestabilan kondisi pasien menjadi hal yang prioritas (Permenkes, 2013).…”

“…Layanan ambulans prehospital dapat digunakan dalam memberikan pertolongan pertama kepada pasien yang mengalami trauma atau nontrauma dengan berbagai kondisi yang tidak terduga. Oleh karena itu, supir ambulans seharusnya memiliki keterampilan dalam aspek transportasi pasien supaya dapat membantu meringankan tugas dokter dan perawat pada saat evakuasi dan transportasi (Machrina et al, 2019). Kesalahan dalam memberikan pertolongan pertama penanganan prehospital dapat berakibat pada kecacatan bahkan kematian pada pasien gawat darurat.…”