COVID-19疫情下的急診家暴驗傷服務與社工人身安全之經驗探討

A Study on the Experience of Domestic Violence Medical Examination Service of Emergency Room and Social Worker Personal Safety in the COVID-19 Pandemic

麥漢倫(Han-Lun Mai)

《社會工作實務與研究學刊》 11期 (2022/06) Pp. 1+3+5-21+23

https://doi.org/10.6690/JSWPR.202206_(11).0001

摘要

本主題係以急診社工人員實務參與疑似COVID-19病人且又是家暴被害人驗傷過程，將特殊經驗形成歷程文本，透過流程分析檢視差異處，並省思社工人身安全議題。根據流程對照分析結果有六個發現，包含：增加旅遊史／職業史／接觸史／群聚史（TOCC）詢問、徵詢驗傷意願提前於發燒篩檢站詢問、診療環境不同、增加驗傷前團隊討論、急診社工人員無法陪同被害人驗傷診療、通報後主動聯繫主管機關。社工人身安全預防與因應為員工應配合醫院指定要求包含相關教育訓練；執行業務時，團隊調整驗傷流程與社工服務方式，降低接觸病人頻率；結束驗傷任務後仍需要配合醫院防疫規定，並回報單位主管與接觸史及自主健康監控與管理。未來要持續關注疫情發展及變化，配合醫院根據中央及地方政府的指引與規範，維護自身安全與提供社工服務，一起對抗疫情所帶來的挑戰，直到COVID-19疫情退去的那日到來。

關鍵字

COVID-19 ； 家暴驗傷 ； 急診社工人員 ； 人身安全

並列摘要

This study aims to explore the emergency social worker to participate in the serve experience of suspected COVID-19 and domestic violence patients. The special experience is formed into a process text, and analysis the process to find differences, and then reflect on the personal safety of social worker. According to the analysis results were found six points, includes: add travel history/ occupation/ contact history/ cluster (TOCC), ask the willingness of the examination before registered, different medical environments, add pre-exam team discussions, emergency social worker is unable to accompany the patient, actively contact the government. Social worker' personal safety prevention and response include cooperating with hospital epidemic prevention regulations and training, adjusting serve procedure and social worker service methods, reporting unit manager accomplished the mission, as well as self-health monitoring and management. In the future, we must continue to focus on the development and changes of the COVID-19 pandemic, comply with central and local government guidelines and regulations, maintain your own safety and provide social work services, fight the challenges by the epidemic, until the day when clear away the COVID-19 pandemic.

並列關鍵字

COVID-19 pandemic ； domestic violence medical examination ； emergency social worker ； personal safety

參考文獻

Ponto, J. M., & Berger, W. (1992). Social work services in the emergency department： A cost benefit analysis of an extended coverage program. Health and Social Work, 17(1), 67-75.

中華民國總統府（2022）。20220426總統視察「中央流行疫情指揮中心」。檢索日期：2022-05-05。https://www.president.gov.tw/NEWS/26688

中華民國醫務社會工作協會（2020）。防範嚴重特殊傳染性肺炎(COVID-19)醫務社會工作因應準則。臺北：社團法人中華民國醫務社會工作協會。

左祖順（2004）。醫務社會工作者面對嚴重急性呼吸道症候群(SARS)疫情壓力因應之研究--以臺大醫院為例。臺中：東海大學社會工作學系碩士論文。

全國法規資料庫（2021）。家庭暴力防治法。檢索日期：2022-02-14。https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=D0050071