香港政府華員會 暨 護士分會、登記護士分會、香港護士總工會主辦
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
