新冠肺炎疫病專責病房之滾動式調整

Rolling Update of COVID-19 Quarantine Ward

10.6320/FJM.202103_25(2).0015

潘玫燕(Mei-Yan Pan)；葉乙臻(Yi-Chen Yeh)；洪儀珍(I-Chen Hung)；林宣妤(Hsuan-You Lin)；劉嘉琪(Chia-Chi Liu)；楊美嬌(Mei-Chiao Yang)；黃雯芳(Wen-Fang Huang)；汪倢西(Chieh-Hsi Uang)；洪燕慧(Yen-Hui Hung)；林綉珠(Shou-Ju Lin)；蔡明叡(Ming-Jui Tsai)；郭柏賢(Po-Hsien Kuo)；劉旺達(Wang-Da Liu)；王振泰(Jann-Tay Wang)；陳宜君(Yee-Chun Chen)；劉秀雲(Hsiu-Yun Liu)

新型冠狀病毒 ； 新興傳染病 ； 動線管制 ； SARS-CoV-2 ； emerging infectious diseases ； traffic control

台灣醫學

25卷2期（2021 / 03 / 25）

277 - 285

繁體中文

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。

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.