新冠肺炎之兒科急診防疫策略

Prevention Strategies of the Pediatric Emergency Department for COVID-19 Pandemic

李琇蓉(Hsiu-Jung Lee) ； 陳筱瑋(Hsiao-Wei Chen) ； 劉翠瑤(Tsui-Yao Liu) ； 陳香徽(Hsiang-Hui Chen) ； 莊雅之(Ya- Chih Chuang) ； 陳燕嬌(Yen-Chiao Chen)

《北市醫學雜誌》 預刊文章 Pp. 1-5

https://doi.org/10.6200/TCMJ.202010/PP.0018

摘要

2019年新冠肺炎疫情流行快速席捲全球，疫情之初適逢年節期間，返國人數遽增，急診室是第一線接觸病人的醫療單位，醫護人員面對疫情，臨床相關照護須隨時做滾動式修正，以有效因應疫情變化。本急診室主要照護族群為兒科病人居多，由於國家防疫策略多以成人防疫照護措施為主，相對兒科層面照護資訊略少，本單位於2020年1月至5月共收案24位疑似新冠肺炎病童，為提升兒科防疫照護流程及規範更加完善，因此，制定相關防疫策略措施，臨床防疫照護作為如下：防疫照護教育訓練、急診就醫流程再造、簡化發燒篩檢站防疫整備作業、運用資訊設備優化照護環境、優化COVID-19病童友善照護環境等，有效縮短病童就診等待時間，安撫家長及病童焦慮不安情緒，同時降低醫護人員感染的風險，達到零交叉感染目標。本文期望藉由單位防疫策略提供急診醫護人員做為未來因應之參考。

關鍵字

新冠肺炎 ； 兒科急診 ； 防疫策略

並列摘要

In 2019, the Coronavirus Disease-2019 (COVID-19) pandemic swept the world rapidly. The initial outbreak of COVID-19 coincided with the lunar new year, and the number of citizens returning from abroad increased. Because the emergency department is the first-line medical unit that contacts the patients, clinical care must be rolling adjusted at any time to effectively respond to the pandemic changes. Pediatric patients were the primary patient population in the emergency department of our unit. However, national epidemic prevention strategies are adult-oriented, and less information is available for pediatric patients. A total of 24 children were admitted to our unit on suspicion of COVID-19 from January to May 2020. To enhance pediatric protections and care procedures and improve the guidelines, we have formulated related epidemic prevention strategies, including epidemic prevention and care training, re-engineering of emergency process, fever screening station with simplified operation procedures, optimized information-care and sick children care environments, the shorter waiting time for sick children, reduction of parents' and children anxiety, and in the meantime, reduce the infection risk among medical professionals to achieve zero cross-infection. The article expects to provide the epidemic prevention strategies for the reference of medical professionals and nursing staff of the emergency department in the future.

並列關鍵字

COVID-19 ； pediatric emergency ； epidemic prevention strategies