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廣州、香港防護 SARS經驗交流會

日期： 2003 年 5 月 3 日

題目：ICU 護理 SARS 病人的經驗

講者：威爾斯親王醫院 ICU 經理劉小儀女士

廣州、香港防護 SARS經驗交流會

日期： 2003 年 5 月 3 日

ICU護理 SARS病人的經驗

CONVERTING THE UNIT

Clearing the non SARS patients

Set up Control counter at entrance

IN / OUT Area at entrance

Changing Room &Tea Room - away from ward

Reception Counter

Sink

Outer Entrance

Inner Entrance

RelativeWaitingArea

ControlCounter

IN

OUT

VENTILATION

HEPPA Filter

Air exchange cycle

Air purifier

ManpowerStaff deploymentTraining – infection control – ICU skill

Infection Control Measure – ultra high risk area

． Personal Protective Clothing　 mask N95 　 shoe cover　 goggle 　 face shield　 cap/visor 　 hood　 gown 　 air mate　 glove 　 barrier man

． wearing and removing sequence

． re-enforcing hand washing

． environment cleansing

． education of staff & supporting staff

． monitoring - policing station 　

Clinical Practice

Minimize aerosal generating procedure ． Spontaneous breathing – non vented mask ． Ventilated patient 　　 bacterial filter 　　 scanvenging system 　　 closed suction system 　　 switch off ventilator before disconnection ． Stop using nebulizer, non invasive ventilator ． Decrease staff / patient contact-no and frequency

CommunicationCircular / posterFrequent internal briefing

2nd ICU – same level of protection