台灣因應COVID-19之防疫管理及分艙分區分流：南部某醫學中心經驗分享

COVID-19 Pandemic Management Plan and Subdivision Strategy: Experiences from A Medical Center in Southern Taiwan

楊佩瑄(Pei-Hsuan Yang)；廖玉美(Yu-Mei Liao)；李佳倫(Chia-Lun Lee)；葉怡亨(I-Jeng Yeh)；陳麗琴(Li-Chin Chen)

2019新型冠狀病毒（COVID-19） ； 防疫管理 ； 分艙分區分流 ； COVID-19 ； Pandemic prevention control ； Subdivision

醫學與健康期刊

10卷1期（2021 / 03 / 01）

113 - 126

繁體中文

面對人類新興傳染疾病無法掌握的變異能力，整體且系統化的抗疫作為更顯重要。作者所在醫院為全國傳染病防治醫療網之南區應變醫院，在疫情尚未明朗前便進行防疫管理，提早規劃、早期佈署，每日定期會議讓防疫資訊透明，透過全員教育訓練確認人員能配合相關防疫措施，明訂疑似及確診病人處置流程及感染管制措施，提供全院同仁遵循，並由高階主管以實地訪查方式，深入瞭解各單位實際執行現況。隨著全球疫情日趨嚴重，本院制訂分艙分區分流作業標準來杜絕院內感染，避免醫療院所服務量能受到影響。透過疫情明朗前的防疫管理，以及疫情白熱化的分艙分區分流作業標準，不僅讓所有醫療、醫事、輸送及清潔同仁都能了解感染管制的重要性，並能嚴格遵守感管準則，確實有效減緩醫院同仁壓力、預防院內感染。期望本院因應COVID-19之感染管制與防疫管理作為的經驗分享，能提供他院及其他新興傳染病防治之參考。

We are currently facing a highly unpredictable global Epidemic caused by a new and previously unknown virus. Having a comprehensive pandemic control plan at the earliest stage has never been more important. The medical center where I work is part of the National Epidemic Control Network in southern Taiwan. Herein, I describe our experience. We fully implemented our epidemic prevention protocols before the first cases of COVID-19 pandemic appeared in the country. Our epidemic prevention management involved early planning, organization of resources and daily briefings to keep information totally transparent. Also, we set up clear guidelines on infection control and in dealing with suspected and confirmed COVID-19 patients. Training was provided to all staff and ward managers, who then visited every unit to ensure the staff were able to follow the procedures as laid out. As the global pandemic unfolded, the Medical Center designed a set of standardized procedures to prevent nosocomial infection, avoiding the impact on services that hospitals provide. Through our early epidemic control interventions and later on through standardizing procedures in dealing with COVID-19 patients during a pandemic, our whole staff were made fully aware of the importance of infection control and consequently followed the strict guidelines. There were no nosocomial infections. Not only have we successfully avoided nosocomial infection, but we also significantly reduced our colleagues stress levels. I hope our experience with COVID-19 epidemic control can provide a valuable reference source for other hospitals and future epidemics.

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