Emergency Room Disaster Preparedness Management of Mitra Delima Hospital in COVID-19 Pandemic

Abstract

COVID-19 still become a major problem for the entire world population, with the number of cases reaching 46 million as of October 2020. The COVID-19 widespread is one of a kind since of the scale, speed of spread, and need of logical information related to this unused disease. Hospitals, especially ER as an entrance for patients, are required to face various challenges related to this pandemic. However, the health service resilience system facing the COVID-19 pandemic is still looking for its optimal form so it is interesting to being researched further. Research was conducted using descriptive methods in ER Mitra Delima Hospital, type C private hospital which is non COVID referral. The research data was obtained from interviews with the Head Deputy of ER, COVID patient reports, policy changes and Operational Standards Procedures (SOP) as well as data on the use of Personal Protective Equipment (PPE) from March-August 2020. The COVID-19 pandemic led ER Mitra Delima Hospital to make several policy changes by changing patient flow, layout and screening of IGD to COVID and non-COVID, the addition of ER beds and staff, and changes to referral SOP and PPE to improve patient safety and ER personnel of Mitra Delima Hospital. Most health services, especially ER Mitra Delima Hospital, will face an increase in COVID-19 patients and must anticipate the consequences, including increasing the number of beds, personnel, and policy changes to guarantee the commitment of hospital management staff in order to improve the hospital's resilience to disasters, promote effective leadership, and provide a more structured communication path for the community and policy makers.