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摘要


面對新型冠狀病毒(SARS-CoV-2)引起的嚴重特殊傳染性肺炎(COVID-19)疫情,本院承襲2003年SARS的經驗,於2020年1月22日啟動「疫病專責病房」,此病房因應國內外疫情變化、國家防疫政策、全國COVID-19確診個案數、全院每日通報個案及診治確診個案數、隔離病室佔床率等考量,至2020年6月10日期間共完成了五階段滾動式調整以兼顧醫療與防疫,將專責病房床位進行有效的管理與運用。專責病房內劃分隔離檢疫區及解除隔離後送區,根據疫情變化,動態增減各區域範圍和床數,並擬定對應動線,醫療人員則嚴守分組、分區、分艙照顧模式。經由滾動式調整,在疫情嚴峻時成功維持防疫量能,在疫情趨緩時刻,亦能在感染管制原則下,落實病房分區收治,讓疫病專責病房可在保持檢疫量能之前提下,維護其餘有住院隔離需求患者之權益,使疫病專責病房床位達有效利用。

並列摘要


Facing the emerging threat of the COVID-19 pandemic, National Taiwan University Hospital (NTUH) established a quarantine ward with refurbishment of equipment on January 22, 2020, by adopting the experience learned from the pandemic of severe acute respiratory syndrome (SARS) in 2003. As of June 10, 2020, there have been five stages of dynamic adjustments in the response to the trends of domestic as well as imported cases of confirmed and probable/suspected COVID-19 at NTUH by taking into consideration of the capacity of the quarantine ward and negative-pressure rooms. The quarantine ward operated through dynamic adjustments in order to maintain stable capacity and to prevent nosocomial transmission, including implementation of strict restriction of visitors, detailed inquiry into the travel and exposure history of the patients and visitors, updates on the information from Taiwan Centers for Disease Control, establishment of training program of personal protective equipment (PPE) for health care providers and hospital cleaners, and dynamic adjustment of capacity and traffic control of quarantine ward in accordance to national burdens of COVID-19.

參考文獻


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被引用紀錄


李心慈、曾麗卿、陳君玲、邱怡貞、程禎嫻、江迎星、蔡美容、趙岑恩、柳攸褕(2022)。新冠肺炎疫情對於醫院床位量能的挑戰彰化護理29(2),14-20。https://doi.org/10.6647/CN.202206_29(2).0004
楊婷淯、徐茂棠、劉英妹(2023)。新冠肺炎第一線護理人員心理困擾之系統性文獻回顧護理雜誌70(6),58-73。https://doi.org/10.6224/JN.202312_70(6).08

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