香港儿童医院通讯 第六期 （2017年6月）

院长的话

香港儿童医院的筹备工作已全面开展一段时间，今期就让我和大家分享一下。

在员工招聘方面，儿童医院采用分阶段开展服务的模式及人力资源安排，以确保服务能安全和顺利开展，包括将临床服务单位原组调迁，以及提前聘任员工，以尽早提供所需培训及累积临床服务经验。临床服务单位原组迁往儿童医院的安排共涉及49个医生及191个护士职位。目前计划进度理想，多名医生及护士已接受邀请，将会于2018年有关临床服务迁往儿童医院时一并转职。目前该批医护人员留在原有服务单位提供服务或到不同专科接受专业培训。在提前聘任人手方面，由2015/16年度至今，儿童医院已开设88个护理职位，在2017/18年度将会额外开设约50个护理职位。长远而言，儿童医院会联同各联网医院的儿科部门，共同规划和协调儿科专科医生的培训安排，为儿科服务培育更多人才。

在建筑设计方面，儿童医院的建筑采用绿化的概念，除了种植树木以配合周边环境和提供视觉上的绿化，亦大量采用自然光和节约能源的系统等，除了环保以外，也能提供更清新的环境，有助长期住院的病童纾缓情绪及康复。

另外，由于儿童医院将主力接收复杂及危重的转介个案，除常规专业的消防处救护车运送服务外，儿童医院将额外派出儿科重症治疗运送团队，负责把病童从地区医院安全地护送到儿童医院。重症治疗运送服务需要有专责团队及特别改装的车辆提供服务，这是儿童医院实行「轴辐模式」的新安排。

最后，儿童医院将分别于本年9月及10月举行员工论坛，希望各位前线医护人员踊跃参加，分享大家关心的事项。

照片廊

• 与加拿大 The Hospital for Sick Children (SickKids) 代表会面
• 智乐儿童游乐协会举办的「开心小熊医院活动2017」
• 生命小战士会举办「爱童行 – 与小战士步出新出」步行筹款活动
• 2017年度医院管理局研讨大会
• 参观养和医院
• 与夏约书孤儿症基金会代表会面
• 与天主教香港教区医院牧民委员会代表会面
• 与澳洲The Royal Children’s Hospital的儿科专家Dr Simon Harvey会面
• 香港儿童医院捐款管理委员会咨询小组第一次会议
• 与香港理工大学的医疗及社会科学院代表和海外儿科专家的分享会
• 临床药剂学培训
• 与香港儿童医院的护理团队茶敍
• 国际护士节庆祝晚宴
• 参观明爱医院的儿童及青少年科
• 参观基督教联合医院的儿童及青少年科
• 视察复合式心导管室的模拟摆设
• 医院管理局与病友组织交流会

香港儿童医院有多绿化？

如果要用一种颜色代表香港儿童医院，你们会联想到哪一种颜色呢？让我们一起看看香港儿童医院未来的绿色面貌。香港儿童医院是一所高效节能的绿色医院，座落于宽阔的海滨，并广泛结合可持续发展设计。香港儿童医院充分利用绿化优势，与周边环境和谐结合。高度的绿化能够为香港儿童医院带来很多好处 – 不但可以美化环境，令地方更舒适雅致，亦使空气更清新，对病童的身心健康有莫大裨益。现在就让我们一同踏上香港儿童医院的「绿色旅程」吧！

绿色设计的理念

• 迎合启德绿化区的发展计划
• 减轻热岛效应
• 制造休憩空间

花园的面积

• 中央复康花园：大约2800平方米
• 彩色绿洲︰大约375平方米
• 各个空中花园︰共约1580平方米

主要植物品种

例如

• 树木︰黄花风铃木
• 灌木︰毛菍
• 地被植物︰阔叶麦门冬
• 草坪︰海雀稗

重症治疗运送服务 – 香港儿童医院的「希望战车」

在一个晴朗的初春下午，我们很高兴能够访问陈衍标医生及苏文庭医生，借以了解香港儿童医院将来的重症治疗运送服务。兴建医院的工程固然进行得如火如荼，与此同时，为将来建立一个实际可行的「轴辐模式」运作亦是当前关键。香港儿童医院落成后，将成为第三层诊治中心，负责接收病况复杂、罕见、危重及需要跨专科治理的儿科转介个案，预计将来部分危重病童须由地区医院转送香港儿童医院接受治疗。现时病人的紧急救护车运载服务由香港消防处提供，香港儿童医院正与当局磋商此项服务的细节。至于把专责儿科医护人员接载至地区医院，为病童提供安全的运送服务，这便需要建立重症治疗运送服务。

陈医生解释，重症治疗运送服务计划由专职医护团队、专车及先进医疗设备组成。服务的理念是把重症治疗服务尽快带到病童身边，因为拯救病患乃分秒必争，但陈医生强调服务的重点不只是速度，而是病人在运送过程中的安全。要为病童「护航」，还需要一台「流动ICU」。

「流动ICU」能为病童带来希望，因此陈医生为它冠以「希望战车」之名。重症治疗运送服务乃本港首创的医疗服务，此项服务在外国已十分成功，而随著香港儿童医院即将成立，我们了解到为病童开展这项崭新医疗服务的重要性。按现时服务需求估计，每年约有350-400名病童需要此项服务。因此，早于2012年，香港儿童医院已开始举办各项相关培训，例如初生儿急救课程﹙NRP﹚及新生婴儿紧急运送模拟培训课程﹙NETS﹚等，以培育专才。

这个服务的人手规划、员工培训、计划书、临床指引及标准程序等各项准备工作正在有序地进行中。陈医生说：「只欠东风。」他所指的东风便是「希望战车」。因「希望战车」并非常规的采购项目，亦未能纳入医院的营运开支之内，故此，我们实有赖各界的捐款支持，以实践此项充满希望的计划。

流程图

• 香港儿童医院收到地区医院来电要求转介病人
• 「希望战车」把专责医护人员及仪器送往该医院
• 抵达后，专责医护人员、仪器及病人转往救护车
• 专责医护人员陪同病人经救护车安全抵达香港儿童医院

重症治疗运送服务的相关培训

陈衍标医生是基督教联合医院儿童及青少年科的部门主管，负责筹划重症治疗运送服务。

Newly Recruited Staff in the HKCH from Mid Nov 2016 to Apr 2017

EDITORIAL BOARD

Chairperson

Dr T L LEE, Hospital Chief Executive, Hong Kong Children's Hospital

Members

Dr Vivian YUEN, Consultant (Anaestheisia), Hong Kong Children's Hospital

Dr Eugene CHAN, Resident Specialist (Paediatrics), Hong Kong Children's Hospital

Ms Vivian CHAN, Chief Nursing Officer (Commissioning / Hong Kong Children's Hospital)

Mr Freddie POON, Senior Pharmacist (Commissioning / Hong Kong Children's Hospital)

Ms Linda SHU, Manager (Corporate Communication / Communication & Publications)

Editors

Ms Miscelle KWOK, Chief Hospital Administrator (Commissioning / Hong Kong Children's Hospital)

Ms Jasmine GI, Executive Assistant I (Commissioning / Hong Kong Children's Hospital)

Copyright @ 2017 Hospital Authority.

We welcome comments and suggestions, please email to us at hkch@ha.org.hk

Read the Hong Kong Children's Hospital Newsletter online at www.ha.org.hk/hkch

Hong Kong Children's Hospital Newsletter Issue 6 (June 2017)

Message from HCE

The commissioning work for the HKCH has been proceeding at full speed. In this issue, I am delighted to share with you our progress.

Regarding manpower planning, the HKCH adopts the phased approach for service implementation and human resources arrangements, aiming at safe and smooth service commencement. In order to facilitate clinical training and expertise building, we have been working on relocation of existing clinical service units and advance recruitment of staff. Relocating existing clinical service units to the HKCH involves the translocation of 49 medical and 191 nursing positions. The progress is satisfactory; many doctors and nurses have already accepted the invitation and will be transferred to the HKCH in 2018 along with the relocation of clinical services. These staff currently continue to serve the existing service units or undergo professional training in various sub-specialties. For advance recruitment of manpower, the HKCH has already established 88 nursing positions since 2015/16. An extra 50 nursing positions will also be created in 2017/18. For fostering paediatric expertise in the long run, the HKCH will collaborate with the paediatric departments in various clusters to map out the training arrangement for paediatricians.

Concerning building design, the HKCH adopts the green concept in construction. Apart from enlarging plantations to integrate with the neighbourhood and enhance visual greening, the HKCH also extensively employs natural lighting and energy-saving systems. These measures do not only promote environmental friendliness, but also provide a “greener” hospital environment, ultimately benefiting the well-being of long-stay patients.

In addition, since the HKCH will mainly manage tertiary and critical paediatric referral cases, other than the standard ambulance service provided by the Hong Kong Fire Services Department, we plan to establish an additional critical care transport team for escorting sick children safely from regional hospitals to the HKCH. The critical care transport service requires a designated team and specially modified vehicles. This will be the new arrangement for the HKCH operating under the “hub-and-spoke model”.

Last but not the least, two HKCH staff forums will be held respectively in September and October this year. We sincerely look forward to the keen participation of clinical colleagues.

Photo Gallery

• Meeting with The Hospital for Sick Children (SickKids) of Canada
• Participation in “Happy Bear Hospital 2017” organised by the Playright Children’s Play Association
• Participation in the fundraising walkathon “Walk for Love – Cherishing Little Life Warriors towards a Brighter Future” organised by the Little Life Warrior Society
• HA Convention 2017
• Visit to the Hong Kong Sanatorium & Hospital
• Meeting with the Joshua Hellmann Foundation for Orphan Disease
• Meeting with Catholic Diocese of Hong Kong Diocesan Commission for Hospital Pastoral Care
• Meeting with Dr Simon Harvey, paediatric expert from the Royal Children’s Hospital of Australia
• 1^st Meeting of the Advisory Group on HKCH Donation Management Committee
• Sharing Session with Faculty of Health and Social Sciences of The Hong Kong Polytechnic University and overseas paediatric expert
• Clinical Pharmacy Training
• Tea gathering with the Nursing Team of the HKCH
• Celebration Dinner of International Nurses Day
• Visit to Department of Paediatrics & Adolescent Medicine of Caritas Medical Centre
• Visit to Paediatric & Adolescent Medical Department of United Christian Hospital
• Inspection visit to Hybrid Cardiac Catherization Laboratory mock-up facilities
• HA Patient Forum

How green is the HKCH?

What colour will you choose to represent the HKCH? Let’s have a look at how green we are! The HKCH is an energy-efficient green hospital located at the spacious harborfront, characterised by an extensive integration of sustainable designs. The HKCH offers optimised greening advantages and integrates coherently with the neighbourhood. High green coverage is beneficial to the HKCH in many ways. Apart from beautifying the environment, greening can also freshen the air and promote both the physical and mental health of sick children. Now, welcome on board to the “Green Journey” of the HKCH!

Rationale for Green Design

• Complement with the development plan of Kai Tak “Green Hub”
• Reduce heat island effect
• Create leisure spare

Size of Gardens

• Central Rehabilitation Garden: approximately 2800m²
• Healing Oasis: approximately 375m²
• Various Roof Gardens: approximately 1580m² in total

Major Species of Plants

Examples

• Tree: Tabebuia chrysantha
• Shrub: Melastoma sanguineum
• Groundcover: Liriope platyphylla
• Lawn: Paspalum vaginatum

Critical Care Transport Service – “Vehicle of Hope” for the HKCH

On a sunny spring afternoon, we were glad to have the opportunity to interview Dr H B CHAN and Dr M T SOO to understand the future critical care transport service of the HKCH. While the construction works for the hospital has been in full swing, establishing a feasible “hub-and-spoke model” is also the key to service commissioning. Upon establishment, the HKCH will serve as a tertiary referral centre for complex, rare, and critical paediatric cases which require multi-disciplinary management. It is anticipated that some of the critically ill patients will be transferred from regional hospitals to the HKCH for treatment in the future. Currently, Emergency Ambulance Service (EAS) for patients is provided by the Hong Kong Fire Services Department (HKFSD). The HKCH has already initiated liaison with the HKFSD to plan for the service details. Simultaneously, in order to carry designated paediatric medical and nursing staff to regional hospitals and provide safe transport service to patients, it is also vital to establish the critical care transport service.

As explained by Dr CHAN, the critical care transport service is comprised of a designated clinical team, a designated vehicle and advanced medical equipment. The service aims at bringing critical care promptly to sick children. The essence of the service is not just about speed, patients’ safety during the transport process is equally crucial. To “escort” patients safely to the HKCH, it is also necessary to have a “Mobile ICU”.

As the “Mobile ICU” brings hope to patients, Dr CHAN has given it the name of “Vehicle of Hope”. The Critical Care transport service for the HKCH is a pioneering medical service in Hong Kong. Based on its success overseas and along with the establishment of the HKCH, we realise the importance of developing this innovative medical service in benefiting the sick children. According to current service needs, it is estimated that around 350-400 sick children will require such service each year. Therefore, since 2012, the HKCH has been organising various training programmes, including the Neonatal Resuscitation Program (NRP) and Neonatal Emergency Transport Simulation (NETS), to foster specialised expertise for the service.

The manpower plan, staff training, service proposal, clinical protocol and standard guidelines for the critical care transport service are being finalised. Dr CHAN opined that everything was ready except for what was crucial, referring to the “Vehicle of Hope”. Since the “Vehicle of Hope” is a non-standard procurement item and excluded from the hospital operating expenses, we genuinely rely on donations from different sectors of the community to turn this plan of hope into reality.

Work Flow Diagram

1. The HKCH receives call from regional hospital requesting for referral of patient
2. The “Vehicle of Hope” sends designated clinical staff and equipment to the referring hospital
3. Upon the arrival of the “Vehicle of Hope”, the designated clinical staff, equipment and patient are transferred to the ambulance
4. The designated clinical staff escort the patient safely to the HKCH

Training Programs Related to Critical Care Transport Service

Dr H B CHAN is the Chief of Service of Paediatric & Adolescent Medical Department of United Christian Hospital. He coordinates the Critical Care Transfer Service.

Newly Recruited Staff in the HKCH from Mid Nov 2016 to Apr 2017

EDITORIAL BOARD

Chairperson

Dr T L LEE, Hospital Chief Executive, Hong Kong Children's Hospital

Members

Dr Vivian YUEN, Consultant (Anaestheisia), Hong Kong Children's Hospital

Dr Eugene CHAN, Resident Specialist (Paediatrics), Hong Kong Children's Hospital

Ms Vivian CHAN, Chief Nursing Officer (Commissioning / Hong Kong Children's Hospital)

Mr Freddie POON, Senior Pharmacist (Commissioning / Hong Kong Children's Hospital)

Ms Linda SHU, Manager (Corporate Communication / Communication & Publications)

Editors

Ms Miscelle KWOK, Chief Hospital Administrator (Commissioning / Hong Kong Children's Hospital)

Ms Jasmine GI, Executive Assistant I (Commissioning / Hong Kong Children's Hospital)

Copyright @ 2017 Hospital Authority.

We welcome comments and suggestions, please email to us at hkch@ha.org.hk

Read the Hong Kong Children's Hospital Newsletter online at www.ha.org.hk/hkch