筹备多时，我们的住院服务终在三月廿七日顺利展开。来自威尔斯亲王医院的小朋友和同事纷纷迁入，宽敞的病房顿添生气，跟以往的感觉截然不同。当天下午，我与一众医生、护士和药剂师一起巡房。自从担任行政工作后，我已很久没有巡房了，更难得是可以亲身了解病童和家长的即时反应。有人拿出图画和慰问卡来布置新家；有的正在使用病房的无线网络来上网；我又看到一个女孩望著窗外的斜阳，显得平静舒坦。
当我询问这些「新住客」的感受时，他们都异口同声说午餐很美味，特别喜欢那一碗蕃薯糖水，连平日胃口不佳的都把食物吃光。我曾医治癌症病童，深知治疗会影响食欲，亦有不少人会呕吐，所以食物够吸引是很重要的，可帮助小朋友吸收足够营养，心情也会好一点，有利康复。真感谢同事的心思和体贴安排。
我们搬入新医院刚好一年，一路走来，眼前的儿童医院似乎越来越接近当初的愿景了。当然，与国际知名的儿童医院相比，我们还是一个初生之犊。作为院长，我会时刻怀著感恩心、慈悲心和谦卑心去为医院建立一个制度，让受危疾所困的病童和家庭得到最好的治疗、支援和关爱，亦能切合同事们的工作和发展需要。如能做到，一切辛苦都是值得。
香港儿童医院行政总监李子良医生
香港儿童医院由3月27日起分阶段开展住院服务，其中血液及肿瘤科病房、儿童深切治疗部及手术室首先启用。当日早上，阳光映照在医院的玻璃外墙，各部门准备就绪，病房亦摆设了气球和小礼物，以轻松愉快气氛迎接十名由威尔斯亲王医院转院的病童。
另外，屯门医院的病童亦于一星期后迁入。至于玛丽医院、伊利沙伯医院及玛嘉烈医院儿童癌症中心的服务，则会于今年内陆续转由儿童医院提供。
服务开展及调迁涉及病房装修、采购仪器、人手调配、病人运送等安排，每项细节都不容忽视。参与统筹的血液及肿瘤科顾问医生夏修贤表示：「我们一直与五个儿童癌症中心紧密协调，互相支援，确保过程安全顺利。威尔斯亲王医院约两个月前已逐步停收新症，改由其他医院接收，尽量减少转院人数，降低风险。」
病童搬家，整个家庭都要适应新环境，难免有疑虑。儿科部门运作经理张瑞心说：「家长比较关注衣食住行这些贴身事情，所以我们早前举办了参观活动，介绍这里的设施和支援配套，并听取家长意见，令服务更切合用家需要。」
血液及肿瘤科病房经理赵秀英形容，病房终于启用犹如看著宝宝出生。她表示：「即使做足准备，接收病童初期仍遇到一些未能预计的问题。庆幸全院上下皆以病童为先，体现部门间的合作精神。」
夏医生亦有同感：「所谓十年树木，百年树人，儿童医院需要时间慢慢成长。我们未来的工作仍然十分具挑战性，大家要同心协力照顾这个婴儿。」他相信儿童癌症服务的整合有助累积临床经验及促进研究，提升医疗水准。
转来儿童医院上班，我最大的感觉是病房环境较以前宽敞，地下设有绿油油的中央复康花园及滑梯，让挚亲有更多空间陪伴病童，共渡时光。即使面对疾病甚至人生最后旅程，也是较好的安排。
我很喜欢这份工作，因为可以出一分力，陪伴病童走过难关。当小朋友接受治疗时感到不安，我会安慰他们，并建议家长播放音乐或卡通，分散他们的注意力。
对于小朋友而言，单单是去诊所或医院已经需要莫大的勇气，更何况是做手术？香港儿童医院手术室团队综合临床经验、同理心和创意，想出一系列窝心措施纾缓病童的紧张情绪。「小朋友入到手术室难免会哭闹。试想像一下，当他们躺在手术枱上，周遭是白墙跟强光，还被一堆穿著绿色衫、看不清样貌的『外星人』包围著，感到害怕乃人之常情。」麻醉及全期手术医学暨外科部门运作经理莫依丹分享：「因此我们希望建立一个富人情味的手术室，为病童加添一点乐趣和自主权。」
一改手术室冷冰冰的感觉，莫姑娘的团队将接待处布置得色彩缤纷，在墙上贴卡通贴纸、添置不同颜色的沙发，及播放令人心情放松的音乐和大自然影片。
小朋友可以在这棵树上挑选自己喜欢的水果贴纸，例如草莓，巧克力，雪糕和香蕉，护士就会预先把相应的香味涂抹在面罩上。当他们吸入麻醉气体前，就能闻到甜甜的香气。
团队特别将手术室内的四条主要走廊命名为「乐迎街」、「花悦街」、「喜舞街」和「安琪儿街」。若病况许可，病童更可在「停车场」选一辆电动玩具跑车，亲自驾驶到手术室。
麻醉科悉心制作了一系列教育单张，详解麻醉的过程、手术后反应和回家后如何护理等，让病童和家长做足心理准备，更为安心。
小朋友活泼好动，然而患上重病的住院病童需长时间待在病房内接受各种治疗，不能四处走动。除了承受身体上的痛楚，亦难免感到孤单苦闷。我们希望透过儿童为本、家庭友善的环境、设施和配套，令病童与家人彷如置身亲切的家居，在住院期间感到舒适便利，安心踏上康复之路。
阳光充沛的活动室有各种玩具和图书，让病童嬉戏和认识新朋友，共同对抗病魔。不同非政府组织的义工亦会在此举办活动，例如手工、唱游和集体游戏等，为他们带来欢乐，纾缓不安情绪。
病房装设了独立电视机，亦提供免费无线网络，除了为病童提供消闲娱乐，亦方便他们与家人朋友保持联系，接触外面的世界。
孩子最需要至亲陪伴。这张病床旁边的椅子可伸展成一张单人床，让家长在夜里有充足的休息，长期作战。
起居室提供一个舒适宁静的空间，家长们可喝杯热茶、吃件蛋糕轻松一下，亦可与其他家庭交流，互相扶持鼓励。
住院服务展开首天，临近中午，医院膳食部传来一阵阵香气。热腾腾的日式牛肉饭和蕃薯糖水已放在餐车内，准备为病童送上营养丰富、色香味俱全的午餐。
医院膳食服务经理胡静娟表示， 病童膳食由外判公司负责供应，现时采用的餐单，经由医管局的营养师和膳食服务经理多番检视改良，为病童精心设计。
除了营养价值，饭餐款色多元化和卖相吸引亦很重要。胡静娟称膳食服务下了不少功夫，务求让病童吃得开怀，提高他们的食欲：「我们从食物的种类、色彩及口感著手，包括挑选儿童喜欢吃的食物，偶尔提供鱼手指、鸡宝、意粉、班戟等，避免青椒和蒜头等浓味食材，亦会选用色彩鲜艳的红萝卜、蕃茄等作点缀」。膳食服务曾邀请病童、营养师及护士试食，以改良味道。胡静娟兴奋地说：「有小朋友告诉我喜欢医院的食物，希望快点派餐，我感到很开心」。
由于部分病童免疫力低，医院非常注重食物安全。食物在中央厨房烹煮后，会由冷冻货车运送至医院，再按个别病童的健康状况，分配所需份量，并于派餐前在餐车中加热至75℃或以上。
上期我们介绍了和香港迪士尼乐园团队合作推出的「童康服」项目，为病童创作一系列特色住院服。随著第一批病童入院，这些全新服装亦正式面世！服装设计针对病童的独特需要，不但色彩缤纷，亦兼备实用功能。有前线护士表示，其中一款上衣采用了侧开设计，为病童更换衣服时不用像以往般将输液管和插在身上的留置针拆开再接驳，日常护理更加方便。病童更可穿著住院服装直接进入手术室，无需换上手术袍，减轻不安感。
我们希望这些设计贴心的服装能为病童的住院历程注入欢乐，带给他们不一样的治疗体验。
接受静脉注输病童穿著的上衣在侧边开钮，除了方便进行护理程序，亦为身体提供更佳覆盖，既保暖亦尊重病人私隐。
男女童住院服均采用了丰富鲜明的颜色，营造正面和有朝气的感觉。幼童可在裤子上寻找隐藏的迪士尼朋友，有助分散注意力。
两条直达医院正门的新增小巴专线90A及90B已于三月投入服务，市民覆诊探病更加便利。此外，香港复康会亦为有需要病人提供复康穿梭巴士服务，行动不便或使用呼吸辅助仪器的病人及其同行者可优先使用。
复康穿梭巴士于钻石山、红磡、九龙湾港铁站接载病人前往医院。
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新增来往儿童医院的专线小巴路线 |
邻近港铁站 |
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90A |
油塘油丽邨来往香港儿童医院正门 |
油塘站 |
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90B |
秀茂坪秀丰街来往香港儿童医院正门 |
牛头角站 |
儿童深切治疗部同样于3月27日投入运作。该部门负责支援病况较危急的病童，来自不同医院的医护人员目标一致， 要为他们提供安全、有效且快捷的治疗。团队早前进行了急救及运送病人演习，为正式作战做好准备。
模拟职员发现败血症病童因血压骤降引致心脏停顿后，拉动床边的紧急警报器，钟声响遍整个深切治疗部。全部医护人员赶至，根据自己的岗位及既定流程分工，为病童急救。
演习两条运送危重病人路线 — 全副武装，分秒必争，非常考验团队成员间的默契。
医管局行政总裁梁栢贤医生、医管局大会及区域咨询委员会成员于4月24日到访，与医院管理层和一众同事会面，了解医院最新发展与大家的工作情况，并参观了专科门诊和放射科。他们对于能够见证医院顺利开展临床服务，感到非常鼓舞，并期望同事能保持以病童为本的心。
香港儿童医院行政总监李子良医生
香港儿童医院麻醉科部门主管袁文英医生
香港儿童医院儿科专科驻院医生陈宇轩医生
香港儿童医院护理总经理温月媚女士
香港儿童医院药剂部部门经理潘文康先生
医管局总办事处机构传讯经理舒瑞珍女士
香港儿童医院行政事务总经理郭慧敏女士
香港儿童医院高级行政主任（对外关系及筹募）杜蕴慧女士
香港儿童医院一级行政主任（对外关系及筹募）董洁欣女士
香港儿童医院二级行政主任（对外关系及筹募）林瑞敏女士
香港儿童医院二级行政主任（对外关系及筹募）吴文诺女士
香港儿童医院二级行政主任（对外关系及筹募）邱雅锜女士
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Our long-awaited inpatient service commenced smoothly on 27 March. The arrival of children and colleagues from the Prince of Wales Hospital immediately refreshed the ward with brilliant vitality. That afternoon, I joined the clinical team on their ward round. I was a little excited as I had not done this in a long time since taking on a management role. It gave me a valuable chance to learn about the feedback of the patients and parents first hand. I saw a family decorating the wall with pictures and get-well cards, some surfing the internet with our Wi-Fi, and a girl gazing at the sunset peacefully.
When I asked our new residents what they felt about their new home, they all complimented the lunch they had been served, especially the Chinese sweet potato soup. Someone even told me the food was so tempting that a kid who usually could not eat much finished the whole meal. From my experience of treating cancer children, many of them suffer from poor appetite and might vomit. It is therefore very important to provide enticing food to cheer them up and ensure they get the necessary nutrients. I really appreciate our catering colleagues’ effort on this.
One year has passed since our commissioning team moved into this hospital complex. I have a feeling that HKCH is stepping closer to our vision. Yet, we are still a baby compared with other world-renowned children’s hospitals. With gratitude, compassion and humility, I am dedicated to setting up a sustainable system that could offer patients and families the best care and support, and meet the operational and development need of our staff. This may be hard, but if achieved, the satisfaction would be unparalleled.
Dr Lee Tsz-leung, HKCH Hospital Chief Executive
Colourful balloons and gifts were prepared in the Hong Kong Children’s Hospital as it welcomed the first batch of inpatients coming from the Prince of Wales Hospital(PWH). HKCH’s haematology and oncology ward, paediatric intensive care unit and operating theatres began operation on 27 March, marking the phased commencement of its inpatient services.
Patients from Tuen Mun Hospital also moved into HKCH in the following week, and within this year, the other children’s cancer centres in Queen Mary Hospital, Queen Elizabeth Hospital and Princess Margaret Hospital will be gradually transferred to HKCH as well.
Service translocation involves complicated processes such as ward renovation, procurement of equipment, manpower deployment and patient transfer. All these require careful planning and coordination. Dr Ha Shau-yin, Consultant (Haematology & Oncology), said “We have been working closely with the five cancer centres for mutual support and buffer. Two months before the move-in, PWH had stopped taking new referrals to reduce the risk of transporting too many patients.”
Helping patients and their families adapt in the new hospital is another challenge. Department Operations Manager (Paediatrics) Jeanny Cheung said, “We understand that some parents are worried about the change, so we invited them for a visit to learn about our facilities and support services. We also take note of their feedback to make things more user-friendly.”
To Ward Manager (Oncology) Chiu Sau-ying, opening the ward feels like giving birth to a baby. “We do encounter some teething issues, but I am glad that we all put children first and tackle the difficulties together.” she said.
Dr Ha echoed her view, “With the many challenges ahead, we have to work as one team to nurture this baby so that it could thrive.” He believes the integration of paediatric cancer services could facilitate accumulation of clinical experience and promote research to raise the overall service standard.
The ward is more spacious than where I used to work. There is a lush lawn with a slide downstairs. Families could spend quality time together in this nice environment. I think this is good for them.
I enjoy walking along with child patients and help them overcome difficulties. When they feel panic during treatment, I would suggest playing music or cartoon to comfort and distract them.
It takes much courage for a child to go to a clinic or hospital, not to mention entering an operating theatre. Staff of HKCH’s operating theatres have used their experience, empathy and creativity to implement a series of special measures, hoping to relieve the nervousness of children undergoing surgery. “Many children cry in the theatre. Just imagine a kid lying on the operating table, surrounded by white walls, strong light, and a group of “aliens” in mask and green protective gown. Isn’t it normal to be scared?” Ms Mok Yi-tan, Department Operations Manager (Anaesthesiology and Perioperative Medicine / Surgery), shared, “In our operating theatres, we wish to give children some fun and autonomy.”
Children are welcomed in this reception area decorated with cartoon wall stickers and colourful sofas. Relaxing programmes are also played on the TV.
Children can pick their favourite fruit sticker from this tree. Our staff will then rub the fruity scent on the anaesthetic gas mask when putting them to sleep.
The four main corridors in the operating theatres are specially named as the “Cheerful Street”, “Blossom Street”, “Dancing Street” and “Angel Street”. Children are welcomed to drive one of these toy motor cars to their designated theatre if clinical conditions allow.
The Department of Anaesthesiology has developed a set of education leaflets on the process of undergoing anaesthesia, post-operative effects and home care tips to help parents prepare their child and set their mind at rest.
Kids are playful and active. However, child patients who are hospitalized need to spend most of the time in the ward for medical treatments and cannot move around. Apart from physical pain, they may feel lonely and bored. At HKCH, we wish to create a home-like ward environment where patients and families would feel comfortable and stress-free.
Kids can have some fun and meet new friends in this sunlit activity room stocked with toys and books. Volunteers from various NGOs also organise diversified activities here to bring patients joy and reduce their anxiety.
Personal television and free Wi-Fi service provide patients with entertainment and allow them to stay connected with the outside world.
This armchair can be converted into a single bed at night. Parents can get adequate rest while staying close to their loved ones.
The family lounge offers a comfortable place for parents to take a break and share with one another.
The appetizing aroma of the Japanese-style beef rice bowl and Chinese sweet potato soup filled the air in the kitchen of the Hong Kong Children’s Hospital as it welcomed the first group of inpatients.
Catering Manager Jenny Wu, explained that the patient food service is operated by an external supplier. The current menu is tailor-made for children with many rounds of comment from the HA dietitians and catering managers.
Besides nutritional values, the Catering Services have spent great effort to make the menu attractive and diversified so that children would enjoy. Jenny said, “We want to introduce food with different varieties, colours and textures. Sometimes we offer food that children like, such as fish fingers, chicken nuggets and pasta, and avoid ingredients with strong aroma, such as green pepper and garlic. Food with bright colours like carrot and tomatoes are used for garnishing.” Food tasting session was held with kid patients, dietitians, nurses and speech therapists. “I was very happy when a child told me that he liked our food and wanted meal time to come earlier,” Jenny said with excitement.
As some patients are immuno-compromised, food safety is emphasized throughout the entire workflow. After the food is produced in the Central Production Unit, it will be transported in bulk by cold lorry to the hospital. The food will then be portioned and assembled according to the medical conditions of individual patients. Before serving, the meals will be reheated in the trolleys to meet the standard of at least 75℃.
The new inpatient clothing line launched under the “Dress Well” project with the Hong Kong Disneyland Resort is now available for our child patients! Taking paediatric patients’ special needs into consideration, the designs combine visual appeal and functionality. A frontline nurse commended that the pyjama top with ide openings has made her work easier, “When helping children attached with intravenous tubing change clothes, we no longer need to remove and reconnect the parts like before.” Patients can also wear these colourful outfits in the operating room, without having to put on a surgical gown.
We hope these thoughtfully-designed clothing can bring some joy to our child patients and uplift their healing experience.
The side openings on this top offer patients undergoing intravenous therapy more body coverage and respect while facilitating clinical care.
Cheerful colour tones are used in the outfits for boys and girls. The little ones can have fun searching for hidden Disney characters printed on the pants.
Two new minibus routes, No. 90A and No. 90B commenced operation in March, making it more convenient for members of the public to come to HKCH. In addition, HKCH patients in need may make use of the Rehabus feeder service provided by the Hong Kong Society for Rehabilitation. Priority will be given to patients with mobility difficulties or those requiring respiratory assistive devices and their companions.
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New minibus routes to HKCH |
Nearest MTR station |
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90A |
Between Yau Lai Estate in Yau Tong and Hong Kong Children’s Hospital |
Yau Tong Station |
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90B |
Between Sau Fung Street in Sau Mau Ping and Hong Kong Children’s Hospital |
Ngau Tau Kok Station |
The Paediatric Intensive Care Unit has also begun operation on 27 March to support critically ill children. The team, with members originating from different hospitals, shares a common goal to provide these children with safe, effective and efficient treatment. To prepare for this, a series of resuscitation and patient transportation drills was conducted earlier.
The bedside emergency alarm was triggered as a simulated septic patient developed hypotension followed by cardiac arrest. Hearing the loud siren, team members rushed in to perform lifesaving resuscitation according to their designated roles and established protocols.
Simulating two transportation routes for critically ill patients - equipment, team work, and efficient pace are crucial.
HA Chief Executive Dr Leung Pak-yin, HA Board Members and Regional Advisory Committee Members came to the HKCH on 24 April. Besides meeting with the management team and staff members, they also visited the Specialist Outpatient Clinic and Department of Radiology. They were delighted to see the smooth commencement of clinical services and encouraged staff to keep up the dedication to serve children in need.
Dr Lee Tsz-leung, Hospital Chief Executive, HKCH
Dr Vivian Yuen, Chief of Service (Anaesthesia), HKCH
Dr Eugene Chan, Resident Specialist (Paediatrics), HKCH
Ms Connie Wan, General Manager (Nursing), HKCH
Mr Freddie Poon, Department Manager (Pharmacy), HKCH
Ms Linda Shu, Manager (Corp Comm), HAHO
Ms Miscelle Kwok, General Manager (Administrative Services), HKCH
Ms Vivian To, SEO (External Relations & Donation Management), HKCH
Ms Haze Tung, EOI (External Relations & Donation Management), HKCH
Ms Sarah Lam, EOII (External Relations & Donation Management), HKCH
Ms Mandy Ng, EOII (External Relations & Donation Management), HKCH
Ms Karis Yau, EOII (External Relations & Donation Management), HKCH
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