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Written by: Zheng Cuibi
2020-09-30 08:05
Last update date: 2020-09-30 08:05
The third wave of the new crown pneumonia epidemic in Hong Kong was "destructive". The virus penetrated into the community and caused a major outbreak in Hong Kong, paralyzing the medical system of public hospitals. The Hospital Authority needed to urgently open additional "second-line isolation wards" and different community facilities to receive patients.
Among them, Tuen Mun Hospital was full of isolation wards. In mid-July, doctors and nurses were suddenly asked to convert the A6 pediatric ward into a "second-line ward." A few days later, patients with new coronary pneumonia were admitted. The doctors lamented that they had completed the "impossible" Mission".
The modification is not easy. In addition to installing air filters, the ward itself is for pediatric purposes. Children’s beds must be converted to adult beds, and children’s toilets must be converted to adult toilets. Even the pillows must be specially designed for adults.
Internal medicine and paediatrics do not know each other themselves, but in response to this collaboration, the medical and nurses in Ward A6 can complement each other and have a good understanding.
(Photo by Yu Junliang)
The pediatric ward has become a human isolation ward.
Many facilities need to be "larger"
At the peak of the third wave of the epidemic, 149 patients were diagnosed daily, and public hospitals were quickly overwhelmed. There were hundreds of patients waiting to be admitted in the past few days.
Li Ruozhi, manager of the pediatric ward of Tuen Mun Hospital, revealed that the isolation ward of the hospital was full at that time, and "one opened one burst." Therefore, the A6 pediatric ward needed to be urgently converted into a "second-line isolation ward" to receive patients who were recovering stably.
She described the rush of time as an "impossible task." Because the ward was half full, patients had to be transferred to another pediatric ward, and a series of large and small projects had to be carried out in the ward.
She said that medical care needs to empty all the furniture and equipment in the nurse's station and the ward for major cleaning; also need to install 8 high-efficiency air particulate filters in the ward and install doors in the ward.
In addition, because the ward itself is used for pediatrics, children’s beds need to be converted into adult beds; there was originally only one adult toilet and one child toilet in the ward, and the hospital immediately converted the children’s toilet to an adult toilet.
She continued, because she was worried that the body fluids of patients with the new crown would remain on the pillows, the hospital would provide each patient with a new pillow. "But there are more fine pillows for pediatrics, but there are not many large pillows." Medical care also needs to look for adults. Style pillows.
"Second-line Ward" accepts more than 100 patients in 6 weeks
As a result, under the mobilization of the General Medical Care, the ward was successfully refitted within a few days. The original pediatric ward was closed on July 13 and was "transformed" into a "second-line ward" on July 17.
The ward was originally equipped with more than 40 beds. In response to receiving patients with new coronary pneumonia, the infection control requirements were higher. Only 35 beds were set up. After 6 weeks of operation, it received a total of 100 adult patients and about 60 child patients. The patients came from different groups. , Including residential homes for the elderly, Tszyunshan District, tea restaurants and restaurants, etc.
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Tuen Mun Hospital urgently converted the A6 pediatric ward into a "second-line isolation ward" in mid-July. Because of the time rush, the medical staff described it as an "impossible task."
(Photo by Yu Junliang)
The temperature in the ward is high, "like a stove"
Li Ruozhi said that Ward A6 was also used as a "second-line isolation ward" in March, but only internal medicine was responsible for the operation at the time. This is the first time that pediatric medical care has cooperated with internal medicine and geriatric medical care. There are 20 pediatricians in the ward. Nurses take turns to work, and the internal medicine department will send 1 to 2 nurses to join the nursing team every time.
Physicians will visit the A6 room every day. The internal nurses are responsible for distributing medicines to adult patients. They will also instruct pediatric nurses on how to take care of adult patients. Li Ruozhi laughed and pointed out that the two parties do not know each other, but they can complement each other and have a good understanding.
Each ward of the "second-line isolation ward" is equipped with a door to prevent air circulation. The ward is hotter than the general isolation ward. Li Ruozhi admitted frankly that although there is no need to wear a full set of protective equipment in the rest room and other places, the body feels The temperature is as high as 30 degrees Celsius, "like a stove." The doctors and nurses sweat every time they eat. They work very hard, but they have no complaints.
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