香港儿童医院通讯 第七期 （2017年10月）

院长的话

我们的付出文化

香港儿童医院是一个很独特的项目，涉及全新服务概念和轴辐模式，无论环境或运作上都需要特别安排去配合。然而，由于实体医院尚未落成，现时大部分同事又分布在不同医院和单位，他们都未必完全掌握新儿童医院日后的各样情况。故此我们非常重视与同事沟通联系，会一直透过不同渠道发放消息，正如最近举办了两场员工大会提供最新资讯，同时听取他们的关注和意见。

我在员工大会上分享到，究竟儿童医院将会拥有一个怎么样的文化？我期望每位同事，不论岗位职级，都能够成为一个「付出者」。具体上，我认为可以透过以下三个层面达到──

• 「关怀」：付出同理心，视病如亲，为病童及家庭提供全人照顾。
• 「学习」：我们透过硬件设施和各种安排，著力推动研究、教学和培训，希望同事把握机会，精益求精，付出知识与技能，提升服务。
• 「微笑」：医护人员都喜欢看到病人释除病痛后的欢颜，自己却往往忘记保持笑容。我给大家一个挑战，多付出你的微笑，以开朗心情迎接每天的工作，从而感染身边的同事和病人，为原本充满压力的环境增添愉快气氛。

今期我们访问了三位前线医护同事，从他们身上都能看到以上特质。未来我们将会面对重重挑战，包括工程、招聘、采购和服务筹划等。就让我们一起同心协力，实践付出文化，令服务得以安全顺利开展，病童获得最好照顾，同事亦能发挥所长，找到满足感。

香港儿童医院行政总监李子良医生

员工大会　加强沟通

香港儿童医院于9月5日及10月19日举行了员工大会，介绍医院理念、设施，以及建筑工程和服务的第一手资料。两场合共超过300人出席，包括获提前聘任、参与原组服务调迁，及对儿童医院发展感兴趣的不同职系同事。

九龙中医院联网总监卢志远医生在第一场大会上表示，他相信同事都是满有理想，希望创一番事业，但大家来自五湖四海，带著不同文化和做事方式，的确存在挑战。他勉励各团队加强沟通，将差异化作优势，有周详规划亦要适时变通，坚守对优质服务的信念和热诚。

儿童医院行政总监李子良医生说，当局投放资源不单止儿童医院得益，而是为儿科服务网络缔造了一次大整合和大改善的契机，造福全港有需要的病童，而医护人员亦能灵活调配至儿童医院参与复杂及罕见个案，将经验带回地区医院。

出席大会的同事亦就一些切身关注的事情踊跃提问，这里精选一些资料给大家参考。

问：儿童医院确实位置在哪里？

答：我们位于启德发展区，地址是「承昌道一号」，两座大楼名为「教学及科研大楼」（A座）及「临床服务大楼」（B座），中间有天桥连接2、3及9楼，方便病人流动，有助提升效率，促进临床及科研团队交流。

问：医院位置好像不太方便，有甚么方法前往？

答：现时5R号巴士及86号小巴会途经儿童医院。院方正积极与运输署商讨加强公共交通配套，包括开设新路线、重组路线及加密班次等；港铁沙中线启德站则预计2019年中启用。

问：院内有足够食肆吗？

答：会有员工餐厅、咖啡店、小食店及便利店，现正进行招标程序；亦有自动贩卖机和微波炉等方便同事。如运作许可，可到邻近九龙湾商贸区用膳。

问：开院时有没有足够人手，能否应付病人量？

答：医院会分阶段投入服务，确保病人安全、运作畅顺及服务质素。每个专科都要在人手和仪器就绪、已确立治疗标准与工作流程，及其他部门能充分支援下才会开展服务。

问：护士会否实行五天工作周？

答：会朝著这个方向去考虑，但要视乎各部门的招聘进度，待人手充裕才可逐步推行。

问：如想参加海外培训如何申请？

答：院方自2011/12年度以来已为员工提供140多个海外受训名额，而本地培训更多达6千多人次。各部门会因应服务需要为员工安排合适培训。开院前我们有较大空间进行较长期的海外培训；开院后要主力提供病人服务，将集中进行本地培训，如利用院内模拟中心，亦会邀请海外专家来港，让更多同事受惠。

问：医生候召安排如何？

答：院方会尽力将医生候召的频密程度与覆盖范围维持在合理水平，与现时各医院儿科部门情况相若，具体安排会与各专科服务筹备专员商讨，亦会继续透过周年工作计划争取资源，增加人手以应付候召需求。

问：儿童医院有专用制服吗？

答：会采用医管局或九龙中医院联网的制服及工作服款式。下阶段可再研究能否加入一些儿童医院特色，但须视乎资源，及征询持分者意见。

我为甚么加入儿童医院？

要确保服务质素，人才是其中一个关键，因此儿童医院早于2015年已开始提前聘任员工。他们大部分现分派各公立医院工作，并获安排有系统的海外及本地培训，尽早学习相关知识，累积临床经验，为开展服务做好准备。同事选择离开原先岗位加入儿童医院，个中原因各有不同，大家或许可以从今次访问了解他们的心路历程。我们亦感谢其他医院的鼎力支持和充分配合，及为受训同事提供指导。

全方位培训建立信心

注册护士　柯大真

柯大真2015年应征灌注师。这职位是负责在心胸外科手术期间操控人工心肺机，以维持病人的循环呼吸功能。原来当时已当了十年护士的她从未参与过手术。走进未知领域，她笑说全凭一个勇字：「我一直想了解多点拯救生命的奇迹。长江后浪推前浪，我醒觉不装备自己去接触最新技术便会落伍，一定要及早跟著时代走。」

「一走进玛丽医院的手术室，我就明白为何这么早便要开始培训，因为真的有好多东西要学！」她形容要独立控制复杂的心肺机，同时监察病人生理指标、与医生紧密配合，必须眼耳口手并用。

「当我第一次看到一颗跳动的心脏，就感到责任重大，有担心过是否应付得来。但儿童医院安排的培训很全面，支援亦充足。除了修读中文大学课程和在手术室训练，还要通过考核，取得专业证书。」

熟能生巧，柯大真相信继续努力学习就能胜任未来工作。她无悔转职决定：「这里机会处处，只要有心求进就会得到。」

手术室里的大小孩

麻醉科副顾问医生　余文灏

麻醉科余文灏医生忆述：「自从当了龙凤胎的爸爸，我更了解父母的需要和担忧，因而对儿童医院产生兴趣。」他认为本港专注儿童麻醉的医生较少，技术要求亦高，自觉在儿童医院会有更大贡献和发展，所以接受了挑战，趁年轻闯一闯。

他现时每周穿梭四间医院受训。「我以前主要处理成人个案，很难得有机会学习各类儿科手术的实战技巧，我很享受。」过程中还领会了态度。「我时刻提醒自己，小朋友还有一世的路要走，实在不容有失，必须准确计算麻醉药分量，插喉也加倍谨慎。」

面上经常挂著笑容的余医生，自言本身也是一个大小孩，手术室里应付哭闹病童的重任往往落在他身上。「我会在麻醉面罩涂上朱古力味，又哄说用力吹波波就可上太空，令小朋友为手术是玩游戏，不会觉得太恐惧，更愿意合作，我们更可避免使用镇静剂。」

跳出药房　服务更贴心

临床药剂师　曹匡宇

曹匡宇是一位儿童肿瘤科临床药剂师。他说：「我希望开创一条新路，由零开始参与筹划一间新医院的药剂运作，看看是否有改善空间。」

他曾到多伦多的儿童医院受训。「真是大开眼界，原来药剂师能发挥很重要的角色，特别是提供临床药剂服务和推动病人管理自己的疾病。」他之后在威尔斯亲王医院的儿童癌症中心参与建立药物辅导服务及药物资料库。「我们印制了单张，向家长讲解药物正确用法和副作用，并解答他们的疑问，提升用药知识和依从性。」

受训期间，曹匡宇亲身参与病人治疗，与医生一起巡房。他难忘有小朋友不肯吃某一种类固醇。「他妈妈以为类固醇只是消炎，不吃也罢，经我辅导才如梦初醒。我鼓励她花心机喂，还制作了一张时间表，吃药会有贴纸奖励。」经过此事，他相信自己可更直接帮助病人。「只有了解病人的需要，才能提供更个人化服务，建立互信关系。」

照片廊

• 委托香港中文大学举办聚焦小组，了解病人组织对家长留宿设施的期望及建议
• 李子良医生接受麦当劳叔叔之家慈善基金访问
• 在智乐儿童游乐协会的活动中了解专为病童设计的医疗程序游戏
• 总护士长陈宝妍女士出席愿望成真基金活动，与病童分享欢乐时光
• 病理学部同事商讨开院筹备计划时松一松
• 与生命小战士会见面
• 李子良医生出席香港医学组织联会的周年科研大会，介绍儿童医院服务
• 与伊利沙伯医院院牧部会面
• 李子良医生于亚太斜视及儿童眼科学会晚宴上介绍儿童医院
• 专职医疗团队成员
• 天水围医院行政总监杨谛岗医生与儿童医院筹划组分享开展服务的经验

儿童医院实景直击

• 大楼外观
• 病房一角，该楼层以熊猫为设计主题
• 大堂以高楼底、自然采光及缤纷设计营造开扬愉快气氛

2017年5至9月新入职及晋升员工

编辑委员会

主席

香港儿童医院行政总监李子良医生

成员

香港儿童医院麻醉科顾问医生袁文英医生

香港儿童医院儿科专科驻院医生陈宇轩医生

香港儿童医院筹划组总护士长陈宝妍女士

香港儿童医院筹划组高级药剂师潘文康先生

医管局总办事处机构传讯经理舒瑞珍女士

编辑

香港儿童医院筹划组总院务主任郭慧敏女士

香港儿童医院高级行政主任（对外关系及筹募）杜蕴慧女士

© 2017 医院管理局版权所有

如对本通讯有任何意见，欢迎电邮至enquiry_hkch@ha.org.hk

网上版请浏览 www.ha.org.hk/hkch

Hong Kong Children's Hospital Newsletter Issue 7 (October 2017)

Message from HCE

We are Givers

The Hong Kong Children's Hospital is a unique project involving new service models, environment and operational arrangements. As construction works are still going on, most of our colleagues are now serving in different hospitals and units and they may not be familiar with the future situations of the HKCH. Therefore, we highly treasure staff communication and will keep releasing information via various channels. Recently, we organized two staff forums to update colleagues about the latest developments and listen to their concerns and feedbacks.

In the staff forums, I shared my vision of building a giving culture in our hospital. I wish that every colleague, regardless of job nature and rank, could become a GIVER in these three aspects:

• CARING. Give your empathy and compassion in providing holistic care to sick children and their family. Treat them as you would like your loved ones to be treated.
• LEARNING. We strive to promote research, teaching and training by providing supporting hardware and software. Please seize every chance to enhance our service by giving your knowledge and skills.
• SMILING. We love to see the happy faces of patients when we cure their illnesses and give them comfort, but we often forget to put a smile on our own. Give your smiles more generously. Go to work every day with a positive attitude. Take this as a challenge to bring joy to the stressful hospital environment. You will be amazed how this can influence the colleagues and patients around you.

The road ahead of us is full of challenges. Construction, recruitment, procurement and service planning are some of the difficulties we need to overcome. Let’s work together to live up to the culture of giving to achieve a smooth and safe opening and offer the best care to our children and a rewarding career for our staff.

Dr Lee Tsz-leung, HKCH Hospital Chief Executive

Staff Forums Enhance Communication

The Hong Kong Children's Hospital organized two staff forums on 5 September and 19 October respectively where a total of over 300 participants learnt about the hospital’s latest development.

In the first forum, Dr Albert Lo, Cluster Chief Executive of the Kowloon Central Cluster said he believed all HKCH colleagues shared the same passion for excellence, but the difference in background, culture and style inevitably created challenges. He urged all teams to strengthen communication, reap the benefits of diversity, plan well but be resilient, and never give up on the values of providing quality service.

HKCH Hospital Chief Executive Dr Lee Tsz-leung pointed out that the birth of HKCH had created a great opportunity to restructure and improve the overall paediatric service network, benefiting all children in need across Hong Kong. Healthcare professionals can also rotate flexibly between HKCH and regional hospitals to participate in clinical care of complex and rare cases.

Q: Where exactly is HKCH?

A: We are located on 1 Shing Cheong Road of the Kai Tak Development Area. Our two buildings are named the Training and Research Tower (Tower A) and the Clinical Tower (Tower B). They are connected by link bridges on floors 2,3 and 9.

Q: How can I get to the hospital?

A: Right now KMB route 5R and minibus route 86 stop by HKCH. We are actively communicating with the Transport Department to improve accessibility such as opening new routes, re-routing and increasing frequency. Meanwhile, the MTR Kai Tak Station is expected to open in mid-2019.

Q: Will there be enough eateries in the hospital?

A: There will be staff canteen, coffee shop, snack bars and convenience store. Tender procedures are underway. Vending machines and microwaves will also be provided. If operationally feasible, staff may dine in the nearby Kowloon Bay commercial district.

Q: Will there be sufficient manpower to meet service demand upon opening?

A: HKCH will commence service in phases to ensure patient safety, smooth operation and service quality. All specialties must guarantee the readiness of manpower, equipment, treatment protocol, workflow and support from relevant units before opening service.

Q: Will nurses have 5-day work?

A: We will consider this, but it depends on the recruitment progress and manpower adequacy.

Q: I’m interested in oversea training. How should I apply?

A: Since 2011/12, over 140 overseas training scholarships have been provided for staff. Numerous local training have also been organized with more than 6,000 attendances. Departments will make appropriate training plans based on service need. Before service opening, we have more room to organize overseas training. After that we will organized more local training, such as using our simulation centre and arranging commissioned training by overseas experts so that more staff can join.

Q: What is the on-call arrangement for doctors?

A: We will endeavor to create a reasonable on-call system in terms of frequency and coverage. It should be comparable to the situation in existing paediatric departments. Detailed arrangements will be discussed among the Commissioning Service Co-ordinators. We will also continue to bid for additional manpower through the annual plan exercise.

Q: Are there any special uniforms for HKCH staff?

A: We will adopt the existing uniforms and working clothes of the Hospital Authority or Kowloon Central Cluster. We may consider adding some special features in the next stage, but it depends on resources availability and stakeholders’ comments.

Why Did I Join HKCH?

Talent is one of the key factors to ensure service quality. That is why the HKCH has begun to recruit staff in advance since 2015. Most of these advance recruits are currently serving in various public hospitals. Systematic overseas and local training are also arranged to equip them with the necessary skills and clinical experience.

You may wonder why one would leave the comfort zone to join the HKCH. Perhaps you can find a clue from these interviews. We also like to thank the other hospitals for their tremendous support in our staff training.

All-rounded training builds confidence

Or Tai-chun, Registered Nurse

In 2015, Or Tai-chun was recruited as a perfusionist who is responsible for operating the cardiopulmonary bypass machine during a cardiothoracic surgery to manage the patient’s circulatory and respiratory functions. At that time, she already had 10 years of nursing experience, but had never participated in any surgery. Curiosity and courage drove her to a brand new arena. “I have always wanted to know more about the miracles of saving lives. I also realized if I didn’t learn the latest technology I would lag behind.”

“Once I stepped into the operating theatre of the Queen Mary Hospital, I understood why training had to begin so soon. There was so much to learn!” She has to multi-task in order to operate the complex machine independently, monitor the patient’s physiological signs, and cooperate seamlessly with the surgeon.

“When I first saw a beating heart, I realized it was a huge responsibility and wondered if I could really handle. Luckily, the training arranged by HKCH is very comprehensive with good support. I need to take a formal course in the Chinese University, practise in the operating theatre, pass assessments and obtain a certificate.”

Or Tai-chun believes if she continues to work hard, she can perform her new role well. “There is never a moment that I regret changing my job. There are many opportunities in HKCH. If you to have the aspiration to improve yourself, they will be yours.”

The big kid in the operation theatre

Dr Alvin Yu, Associate Consultant (Anaesthesia)

Anaesthesiologist Dr Alvin Yu recalled, “Since I became a father to my twins, I began to understand more about the needs and worries of parents, and became interested in HKCH.” Seeing the limited number of paediatric anaesthesiologists, he believed there would be more room for contribution and development in HKCH, so he took up the challenge.

Now he shuffles among four hospitals each week for training. “I used to focus in adult cases. Now I can learn about how to handle different kinds of paediatric surgery. I really enjoy it.” Attitude is also important. “I always remind myself that these kids have a lifetime ahead of them. There is no room for errors. I must be extra cautious.”

He described himself as a big kid, while showing his trademark smile. “I’m usually the one to deal with crying kids in the operating theatre. I put chocolate scent on their face mask, or say if they breathe hard enough they can fly to outer space. When kids see surgery as a game, they become less scared and more cooperative. Then we may avoid using sedation.”

Providing care beyond the pharmacy

Alex Cho, Clinical Pharmacist

Alex Cho is a clinical pharmacist specialising in paediatric oncology. He said, “In this new hospital, I can help build a pharmacy service from scratch and see if there are any rooms for improvement.”

He was sent to the Hospital for Sick Children in Toronto for training. “It was an eye-opening experience. I realized that pharmacists can perform a very important role, especially in clinical pharmacy practice and patient empowerment.” He then helped to set up a drug counselling service and medications database in the Prince of Wales Hospital’s children cancer centre. “We made a leaflet to explain to parents the correct usage and side effects of common medications and answer　their　enquires　to　enhance their knowledge and compliance.”

During his training, Alex actively participates in the patients’ treatment process with the medical team. “There was a kid who refused to take a steroid. It turned out his mother misbelieved that the drug was only for anti-inflammation and it’s not a big deal skipping it. I encouraged her and made a timetable where she could put a reward sticker when her son took the drug.” After this, Alex believed that he could help patients in a more direct way. “By understanding the patients’ individual needs, we can provide a more personalized service and build mutual trust.”

Photo Gallery

• Patient group representatives express their expectations on parents overnight stay facilities in a focus group conducted by the Chinese University
• Ronald McDonald House Charites interviews Dr TL Lee
• Learn about some medical treatment procedure games designed for paediatric patients by the Playright Children’s Play Association
• Chief Nursing Officer Ms Vivian Chan shares happy moments with little disease fighters in a Make-A-Wish event
• Pathology colleagues take a break while discussing service commencement plans
• Meeting with Little Life Warrior Society
• Dr TL Lee introduces the service of HKCH at the Annual Scientific Meeting of the Federation of Medical Societies of Hong Kong
• Meeting with the QEH Chaplaincy
• Dr TL Lee gives an introduction of HKCH at the gala dinner of the Asia-Pacific Strabismus & Paediatric Ophthalmology Society Congress
• Members of the allied health team
• Tin Shui Wai Hospital Chief Executive Dr Deacons Yeung shares experience in service commissioning with the HKCH team

Newly Recruited and Promoted Staff from May to September 2017

EDITORIAL BOARD

Chairperson

Dr Lee Tsz-leung, Hospital Chief Executive, HKCH

Members

Dr Vivian Yuen, Consultant (Anaesthesia), HKCH

Dr Eugene Chan, Resident Specialist (Paediatrics), HKCH

Ms Vivian Chan, Chief Nursing Officer (Commissioning), HKCH

Mr Freddie Poon, Senior Pharmacist (Commissioning), HKCH

Ms Linda Shu, Manager (Corp Comm), HAHO

Editors

Ms Miscelle Kwok, Chief Hospital Administrator (Commissioning), HKCH

Ms Vivian To, Senior Executive Officer (External Relations & Donation Management), HKCH

Copyright © 2017 Hospital Authority

Please send comments and suggestions to enquiry_hkch@ha.org.hk

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