同僚未告知 孕醫被噴愛滋血

[img]http://twimg.edgesuite.net//images/twapple/640pix/20110819/LB06/LB06_002.jpg[/img]
林口長庚一名女醫師為愛滋感染患者插管，被噴滿身血。圖為當時急救的病房區
[img]http://twimg.edgesuite.net//images/twapple/640pix/20110819/LB06/LB06_001.jpg[/img]
2011年 08月19日 【邱俊吉╱台北報導】林口長庚醫院麻醉部一名懷孕的女醫師，上周四聽到院內呼叫，前往支援為病患插管急救，她赤手、挽袖插管時，患者噴血，旁邊四名醫護人員卻連忙退後，事後才告知女醫師，病患是愛滋患者，女醫師情緒潰堤，還至精神科諮商。林口長庚醫院昨表示，會對女醫師做健康追蹤，但不會處分另四名醫護。


長庚人員向《蘋果》投訴，指上述女醫師在事發隔天，因心情受影響，剪去長髮，且返家也不敢抱大女兒，天天紅著眼眶上班，但長庚事後卻沒處分任何人。
此事也在批踢踢（telnet:// ptt.cc）引發討論，不少網友譴責那四名醫護人員，「太過分」、「要孕婦支援，卻沒告知要急救的是愛滋患者。」


天天紅眼眶上班
投訴人李小姐表示，上周四該名女醫師聽到院內呼叫，前去為感染科患者插管，她到場時病房內還各有兩名醫師與護士，沒戴手套的女醫師挽袖為病患插管，病患當場噴血至女醫師雙臂與身上，女醫師擔心患者失血過多，大喊要幫忙，四名醫護人員卻往後退，火速戴上護目鏡等防護設備，待女醫師完成插管，四人才說病患是愛滋患者。
李小姐說，該女醫師因懷有三個月身孕，擔心胎兒被感染，天天紅著眼眶上班，因愛滋檢驗有六個月空窗期，「現驗沒有（感染），也不代表沒有。」沮喪的她已至精神科諮商。昨女醫師透過李小姐表示不願受訪。
林口長庚醫院昨指這名患者是突然發生呼吸衰竭，才請女醫師支援，評估女醫師感染風險低，不會為其預防性投藥，但會關懷其身心狀態，也不會處分在場四名醫護人員。


無規定須先告知
長庚內部許多醫護人員對院方作法不滿。對於醫護人員進行侵入性治療時該有的防護措施，目前醫界有一致處理準則，各醫院做法大同小異。依長庚規定，院內對處理不明病情患者標準流程，包括愛滋病患，在進行插管等侵入性治療，應佩戴口罩、手套、隔離衣、護目鏡等配備，但沒明文規定，要求支援單位須告知支援醫師患者的病情。
衛生署醫事處處長石崇良說，醫師誓詞中有「要對同僚有愛護之心」，知情不說「不違法令，但似有違背倫理。」衛生署疾病管制局發言人施文儀則指除非女醫師被噴到血液的手臂皮膚有傷口，否則感染機會低。


知情不報太么壽
醫療改革團體、愛滋感染者權益促進會祕書長林宜慧說，這名女醫師恐懼可想而知，旁人應予支持。台大醫院副院長張上淳則認為，醫師做侵入性治療要主動穿防護設備，女醫師這方面有疏忽。
上班族徐在中說，「知情不報太『么壽』。」黃姓主婦說，很同情女醫師。四名醫護人員的院內長官林口長庚醫院成人感染科主任黃景泰已出國，無法得知回應。


女醫師急救愛滋患者 事件簿
8/11 麻醉部女醫師接到院內呼叫須協助病患插管，她未戴手套與護目鏡前往，當時病房有4名醫護，但在她插管結束後才被告知病患為愛滋感染者。
8/12 女醫師懷有3個月身孕，她深受打擊，剪去長髮。
8/16 院方公布處理方式，包括召開因應會議、列為同仁教育教材案、對女醫師啟動員工關懷等3結論，未懲處4名醫護，引起同仁不滿。
8/17 批踢踢（[url]telnet://ptt.cc[/url]）有網友批4名醫護人員沒義氣、院方處置不當。
8/18 長庚院方強調後續會追蹤女醫師健康。
資料來源：長庚醫院、《蘋果》採訪整理


[url]http://tw.nextmedia.com/applenews/article/art_id/33608795/IssueID/20110819[/url] 有動新聞

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