專科護理師之預立特定醫療流程的發展與範例

The Development and Examples of Pre-established Medical Processes for Nurse Practitioners in Practicing Medicine

於2015年10月公告「專科護理師於醫師監督下執行醫療業務辦法」，規範專師於醫師監督下得執行之醫療業務內涵以及監督之定義及方式，同時明定得由醫師預立醫療流程及相關規定。自此專科護理師執行醫療業務有了更具體的法源依據，工作內容與執業範圍也更為明確。然而，預立醫療流程的發展與訂定並無過去經驗可以參照，為縮短摸索期與凝聚共識，特以本文分享發展預立特定醫療流程的經驗，主要內容包括臺灣專科護理師執業範圍的發展、專科護理師於醫師監督下得執行之醫療業務、預立特定醫療流程之精神與內涵、制訂時應注意事項與挑戰、及其對專科護理師執業的保障與衝擊，同時也提供三個範例作為後續發展之參考。

in October 2015. This regulation specifies the nature of medical practices which can be performed by a nurse practitioner under the supervision of a physician,the definition and way of physician supervision, and the pre-established specific medical processes by a physician. Nurse practitioners in Taiwan can now perform main medical practices legally and their scopes of practice and job descriptions are more definite. Nevertheless, there is no previous experience or related reference for developing or drafting a physician pre-established specific medical processes. To shorten the exploration period and to develop consensus, we share our experience in developing the pre-established specific medical processes. The main contents of the article include developing the pre-established specific medical processes. The main contents of the article include the development of Taiwan nurse practitioners’ scopes, medical practices which can be performed by a nurse practitioner under the supervision of a physician, the theoretical background, challenges and keys in drafting of the pre-established specific medical processes, and their impacts on and protections for nurse practitioners. We also provide three examples of pre-established specific medical processes for the readers’ reference.