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WELCOME
I Made Winarta, SKM.,M.Epid
MEDICAL PLANNER
Chief Medical Officer
Medical Officer (vacant)
FORCE MEDICAL OFFICER(Deputy CMO)
Lt. Col. (Dr)
Medical PlannerLt Col (Dr)
Force
Medical Officer (OPS)Maj. (Dr)
Force
Battalion - SMOs 18Senior M. O.Level 1 Clinic
Force
C. O. of Level IIand 1+ Hospitals
CHINMCEDOYUNIFIL HQ Hospital
Force
Medical Officer
Pharmacist IC
Local Nurse
Ambulance Driver Warehouse Clerk
Medical Officer
Chief Hygiene OfficerLt. Col. (Dr)
Force
4 Naval MOs 9 MTF Ships
Maritime Task Force
Admin Officer
Admin Assistant
International Nurse
Local Nurse
UNIFIL MEDICAL FACILITIESUNIFIL MEDICAL FACILITIES
33
UNIFIL MEDICAL SECTIONUNIFIL MEDICAL SECTION
St George HospitalSt George HospitalBeirutBeirut
SAIDA
BEIRUT
TYRE
ISRAEL Jabal Amel HospitalTyre
Referral Hospitals
Hammoud Hospital, Saida
Rafik Hariri Hospital, Beirut
Rafik Hariri Hospital (L4),BeirutRafik Hariri Hospital (L4),Beirut
55
St George Hospital (L4),BeirutSt George Hospital (L4),Beirut
66
77
18 HOSPITAL LEVEL - 1
UNIFIL HOSPITAL LEVEL 1+CHINESE HOSPITAL LEVEL 2
HAMMOUD HOSPITAL
UNIFIL MEDICAL FACILITIES
RHHST GEORGE
Overview UNIFIL Overview UNIFIL Medical Resources in AOMedical Resources in AO
• 316 medical personnel
• 79 medical doctor officers(include 7 dentists)
• 135 beds of which 5 are ICU beds
• 85 ambulances with emergency equipment of which 32 are hard skin
• Helicopters with 2 x AMET standby 24/7 for CASEVAC
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.
LEVEL 1 HOSPITALLEVEL 1 HOSPITAL
PERSONNEL
BELUBATT
CAMBCOY
CHINBATT
FCR 9.1
FCR 2.45
IRISHBAT
SPANBAT
PORTCOY
TURCOY
INDBAT
I NDOBAT
ROKBATT
N EPBAT
ITALBATT
ITALCSS
MALCOY
MA L BAT
GHANBAT
TOTAL
SPECIALIST 0 2 3 1 1 0 0 0 0 0 0 3 0 0 2 0 0 0 12
GENERALIST 1 0 2 1 1 2 3 1 3 2 3 0 2 2 1 2 2 2 30
DENTIST 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 1 4
NURSE 1 2 4 2 2 2 3 3 3 6 17 2 17 4 3 4 10
9 94
PARAMEDIC 6 7 4 10 10 8 3 4 3 4 16 3 6 4 3 3 0 9 103
HYGIEN 1 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 1 5
OTHERS 0 3 0 0 0 0 3 0 0 0 9 4 1 4 1 0 0 2 271010
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
LEVEL 2 HOSPITALLEVEL 2 HOSPITAL
HOSPITAL Sp Generalist
Dentist
Nurse Paramedic
Pharm HO Others Total
Chinese 14 2 2 20 3 1 1 16 60
UNIFIL 10 0 1 9 8 0 1 4 33
1212
PERSONNEL OF LEVEL 2 & 1+ HOSPITAL
LEVEL 2 & 1+ HOSPITALLEVEL 2 & 1+ HOSPITAL
CHINNESE LEVEL 2CHINNESE LEVEL 2 3x SURGEON3x SURGEON 4x INTERNIST4x INTERNIST 1x OPHTALMOLOGIST1x OPHTALMOLOGIST 1x ENT1x ENT 1x RADIOLOGIST1x RADIOLOGIST 1XGYNAECOLOGIST1XGYNAECOLOGIST 1x DERMATOLOGIST1x DERMATOLOGIST 1x ANAESTHETIST1x ANAESTHETIST 1XPATHOLOGIST1XPATHOLOGIST 2XGENERALIST2XGENERALIST 2XDENTAL SURGEON2XDENTAL SURGEON 20X NURSES20X NURSES
UNIFIL L 1+ HospitalUNIFIL L 1+ Hospital 1x ENT1x ENT 1X OPHTHALMOLOGIST1X OPHTHALMOLOGIST 1X ANAESTHETIST1X ANAESTHETIST 1X INTERNIST1X INTERNIST 1X ORTHOPEDIC1X ORTHOPEDIC 2X RADIOLOGIST2X RADIOLOGIST 2X SURGEON2X SURGEON 1X DENTIST1X DENTIST GYNAECOLOGIST (NOT)GYNAECOLOGIST (NOT) 9xNURSES9xNURSES 8XPARAMEDICS8XPARAMEDICS
1313
FACILITY & EQUIPMENTFACILITY & EQUIPMENT
CHINNESE LEVEL 2CHINNESE LEVEL 2 1X OPERATING THEATER1X OPERATING THEATER 7X WARDS (20X BEDS)7X WARDS (20X BEDS) 2X ICU2X ICU 1X X-RAY1X X-RAY 1X LABORATORY1X LABORATORY 1X DENTIST ROOM1X DENTIST ROOM 5X SPECIALIST ROOM5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM1X PHYSIOTHERAPY ROOM
UNIFIL HOSPITALUNIFIL HOSPITAL 1X OPERATING THEATER1X OPERATING THEATER 5X WARDS (11X BEDS)5X WARDS (11X BEDS) 3X ICU3X ICU 1X X-RAY ROOM1X X-RAY ROOM 1X LABORATORY1X LABORATORY 1X DENTIST ROOM1X DENTIST ROOM 5X SPECIALIST ROOM5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM1X PHYSIOTHERAPY ROOM
NOT AVAILABLE NOT AVAILABLE ::1.1. OPHTHALMOLOGIST SURGERY OPHTHALMOLOGIST SURGERY
INSTRUMENT AND OPERATING INSTRUMENT AND OPERATING MICROSCOPEMICROSCOPE
1414
1515
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
LEVEL 3 HOSPITAL
1616
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
Outside the Area Operations,
Covers the entire mission Area
LEVEL 4 HOSPITAL
1717
AERO MEDICAL EVACUATION TEAM (AMET)
French’s AMET have 2 groups, but they only have 1 (one) medical equipment.
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)
Principle : 20 min life saving : maximum 20min before doctor sees
a casualty
Principle : GOLDEN HOUR : maximum 60min before surgery if
necessary
Incident Medical ManagementIncident Medical Management
UNIFIL MEDICAL SECTIONUNIFIL MEDICAL SECTION 1919
15’
20’
30’
20’ 25
40’
20’
20’
45’
H
H
Level III Hosp SAIDA
Level IV Hosp’s BEIRUT
40’
H
40’
45’
Referral hospitals L3/4 Lebanon, ISR or CYP
Level - II
Level - I
Level – III/IV
POI
Casevac/Medevac
DEPEND ON CASE
CASEVACCASEVAC CASEVAC (2010): CASEVAC (2010): 66
1.1. Hotel Deu Hospital, Beirut : 4Hotel Deu Hospital, Beirut : 4
2.2. Hammoud Hospital, Saida : 2Hammoud Hospital, Saida : 2
CASEVAC (2011) : CASEVAC (2011) : 2929 (80% Injury)(80% Injury)
1.1. Rafik Hariri Hospital, Beirut : 4Rafik Hariri Hospital, Beirut : 4
2.2. Hammoud Hospital, Saida : 25 Hammoud Hospital, Saida : 25
2121
UNIFIL HOSPITALUNIFIL HOSPITALNAQOURANAQOURA
Chinese Level II Hospital
MEDICAL STAFF AID 3AMEDICAL STAFF AID 3A
60,94860,948
Jan - Dec 2011
42,47742,477
Jan - Dec 2012
OUTPATIENTOUTPATIENT
PERSONEL FREQ 2010
FREQ2011
UNMO 231 243
CivPol 388 7
TROOP 61175 56945
Int’l Staff 1609 1868
Local Staff 2133 1885
2525
2626
MEDICAL STAFF AID 3BMEDICAL STAFF AID 3B
Jan - Dec 2010 Jan - Dec 2011
43,92243,922 49,48349,483
OUTPATIENT BY DISEASEOUTPATIENT BY DISEASE
BY DISEASE IN 2010BY DISEASE IN 2010 BY DISEASE IN 2011BY DISEASE IN 2011
2727
MEDICAL STAFF AID 3AMEDICAL STAFF AID 3A
852 852
Jan - Dec 2010
1,205 1,205
Jan - Dec 2011
INPATIENTINPATIENTPERSONEL FREQ
2010FREQ2011
UNMO 5 2
Civ Pol 3 30
TROOP 802 1170
Int’l Staff 38 2
Local Staff 4 1
2929
INPATIENT BY DISEASEINPATIENT BY DISEASE
BY DISEASE 2010BY DISEASE 2010 BY DISEASE 2011BY DISEASE 2011
3030
SURGERYSURGERY
SURGERIES IN 2011SURGERIES IN 2011
HOSPITAL MAJOR MINOR
L-2 HOSP 21 75
L-1+ HOSP 32 0
SURGERIES IN 2012SURGERIES IN 2012
SURGERY MAJOR MINOR
L-2 HOSP 18 73
L-1+ HOSP 32
3131
ADMISSION IN L 2 &1+ HOSPITALADMISSION IN L 2 &1+ HOSPITAL
HOSPITAL 2010 2011
Chinese L-2 51 66
Unifil L -1+ 272 279
3232
ADMISSION L3/L4 HOSPITALADMISSION L3/L4 HOSPITAL
ASSESSMENT 2011 2012
ADMIT 86 86
INVESTIGATION 148 148
3333
6565 Cases Cases
Jan - Dec 2011
7070 Cases Cases
Jan - Dec 2012
Repatriation by CausedRepatriation by Caused
BY CAUTIONBY CAUTION
Caution 2011 2012
INJURY 19 26
NONINFECTIOUS 46 40
INFECTIOUS 0 3
DEATH 0 1
TABLE CHARTTABLE CHART
3535
Austria
Banglades
h
Belubatt
Finland
Frencbatt
Ghanbatt
Indbatt
Indobatt
Irishbatt
Italbat
t
Malcoy
Nepbatt
Rokbatt
Spanbatt
Tanza
5 1 1 1 13 5 3 2 6 16 5 1 1 9 1
REPATRIATION 2013 BY CONTRY
274274 Cases Cases
Jan - Dec 2011
Exclude : Dental & Routine examination
222 Cases222 Cases
Jan - Dec 2011
MEDICAL PROBLEMMEDICAL PROBLEM
1.1. Medical structure is unclearMedical structure is unclear
2.2. Timely replacement of doctor/nurse/SOTimely replacement of doctor/nurse/SO
3.3. Surgery team should be from one countrySurgery team should be from one country
4.4. Medical section need one more vehicle to Medical section need one more vehicle to support medplan & Chief hygiene for ORI support medplan & Chief hygiene for ORI and COE inspections.and COE inspections.
3838
MEDICAL PLANNERMEDICAL PLANNER
Major I Made WinartaMajor I Made Winarta, , SKM.,M.EpidSKM.,M.Epid
INTRODUCTIONINTRODUCTION
NameName : : I Made I Made Winarta,SKM.,M.EpidWinarta,SKM.,M.Epid
Rank Rank : : MajorMajor AgeAge : : 3939 years old years old StatusStatus : Marriage/ : Marriage/ 44 DAUGHTER DAUGHTER Last PostingLast Posting : Eastern Fleet Command, : Eastern Fleet Command, JktJkt Unifil JobUnifil Job : Medical Planner : Medical Planner
JOB DESCRIPTIONSJOB DESCRIPTIONS ASSIST FMO TO ARRANGE THE MEDICAL ASSIST FMO TO ARRANGE THE MEDICAL
SUPPORT PLANSUPPORT PLAN ASSIST FMO TO MAKE DECISION IN MASCAL ASSIST FMO TO MAKE DECISION IN MASCAL
CASUALTYCASUALTY ASSIST FMO TO CONDUCT CASEVAC AND ASSIST FMO TO CONDUCT CASEVAC AND
ORGANIZE BASIC LIFE SUPPORTORGANIZE BASIC LIFE SUPPORT ASSIST FMO TO CONDUCT SMO CONFERENCEASSIST FMO TO CONDUCT SMO CONFERENCE COLLECT WEEKLY MEDICAL REPORTCOLLECT WEEKLY MEDICAL REPORT ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL
HOSPITALs in AO.HOSPITALs in AO. COORDINATION WITH ALL SMO IN AO COORDINATION WITH ALL SMO IN AO
JOB DESCRIPTIONSJOB DESCRIPTIONS ASSIST FMO PREPARING AND EXECUTING THE ASSIST FMO PREPARING AND EXECUTING THE
MEDICAL SUPPORT PLANMEDICAL SUPPORT PLAN TAKE PART TO UPDATE OF UNIFIL MEDICAL TAKE PART TO UPDATE OF UNIFIL MEDICAL
SOPSOP COORDINATE WITH CIMIC PLANNER DURING COORDINATE WITH CIMIC PLANNER DURING
MEDICAL ASSIST PROGRAM FOR LOCAL MEDICAL ASSIST PROGRAM FOR LOCAL PEOPLEPEOPLE
ASSIST CMO AND FMO IN PLANNING UNIFIL ASSIST CMO AND FMO IN PLANNING UNIFIL PREPAREDNESS TO TACKLE H1N1 PANDEMIC PREPAREDNESS TO TACKLE H1N1 PANDEMIC THREATTHREAT
Duty PerformedDuty Performed
HAVE CONDUCTED WEEKLY MEDICAL REPORTHAVE CONDUCTED WEEKLY MEDICAL REPORT CONDUCTED CASEVAC/MEDEVAC AND EXERCISECONDUCTED CASEVAC/MEDEVAC AND EXERCISE CONDUCTED EXERCISE OF CASEVAC IN SEAGULL CONDUCTED EXERCISE OF CASEVAC IN SEAGULL
TRAINING (MTF PROGRAM)TRAINING (MTF PROGRAM) CONDUCTED SMOs CONFERENCE in MCC NAQOURACONDUCTED SMOs CONFERENCE in MCC NAQOURA CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE
OFFICER IS LEAVINGOFFICER IS LEAVING CONDUCTED INSPECTION OF L1&2 HOSPITAL IN AOCONDUCTED INSPECTION OF L1&2 HOSPITAL IN AO ARRANGE FOR AMET TRAINNING WITH MAOCARRANGE FOR AMET TRAINNING WITH MAOC MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET
FOR FMO, MED OPS AND HYG OFFFOR FMO, MED OPS AND HYG OFF
DUTY PERFORMEDDUTY PERFORMED
COORDINATION WITH SMO ABOUT COORDINATION WITH SMO ABOUT RESULT OF DISEASE IN THEIR AO RESULT OF DISEASE IN THEIR AO (MSA 3 B)& THEIR PROBLEM(MSA 3 B)& THEIR PROBLEM
PLANNING IN 201PLANNING IN 20144
TO ARRANGE SMOs CONFERECE, Wednesday, TO ARRANGE SMOs CONFERECE, Wednesday, 22/022/088/201/20144 in Naqoura. in Naqoura.
TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR SMO & NURSES SUCH LIFE AID,USING SMO & NURSES SUCH LIFE AID,USING INSTRUMENTS SUCH AS LARYNGOSCOPE, INSTRUMENTS SUCH AS LARYNGOSCOPE, INTUBATION, DEFIBRILATOR, INFUS PUMP, USING INTUBATION, DEFIBRILATOR, INFUS PUMP, USING OPHTHALMOSCOPE etc in L1+ & L2 .OPHTHALMOSCOPE etc in L1+ & L2 .
TO CONDUCT SMOs MEETING EVERY ONCE/ TO CONDUCT SMOs MEETING EVERY ONCE/ MONTH IN L1&2 UNIFIL HOSPITAL.MONTH IN L1&2 UNIFIL HOSPITAL.
TO CONDUCT MULTIPLE CASEVAC EXERCISE IN TO CONDUCT MULTIPLE CASEVAC EXERCISE IN AOAO
PLANNING 201PLANNING 20144 TO MAKE GUIDELINE BOOK OF CASEVAC FOR TO MAKE GUIDELINE BOOK OF CASEVAC FOR
SMOSMO TO PERFORM ORI AND COE INSPECTIONTO PERFORM ORI AND COE INSPECTION TO MAKE REPORT OF MEDICAL WEEKLY, TO MAKE REPORT OF MEDICAL WEEKLY,
MONTHLY MEDICAL (3 MONTH) AND YEAR MONTHLY MEDICAL (3 MONTH) AND YEAR MEDICAL REPORTMEDICAL REPORT
TO ASSIST FMO FOR UP DATE MEDICAL SOP AND TO ASSIST FMO FOR UP DATE MEDICAL SOP AND AMANDEMENT CASEVAC/MEDEVAC SOPAMANDEMENT CASEVAC/MEDEVAC SOP
4848