空中醫療轉送計畫醫令

Planed Medical Order for Air Medical Transport

為達成醫療資源整合政策，近年臺灣致力提升緊急醫療品質，以病人安全、團隊資源管理與流程改善等議題為主。臺東縣離島地區，因醫療資源有限，遇緊急醫療需求，在地醫療人員與設備無法負荷下，需仰賴空中醫療轉送，過程首重飛行安全與病人安全。離島衛生所醫師、護理師、空中醫療組員、臺東縣消防局顧問醫師與空中醫療顧問醫師，以團隊資源管理精神，建構「空中醫療轉送預立醫囑」執行計畫，自2020年10月27日公告實施。依使用者需求為基礎，便利離島醫師快速開立醫囑，統一離島護理師緊急藥物配置方式，強化空中醫療組員執行醫囑安全。這套跨團隊、跨領域空中醫療，轉送給藥標準作業流程，為空中醫療轉送歷史及增進病人安全議題，寫下嶄新一頁。

In order to achieve the national medical resource integration policy, in recent years, we have been committed to improving the quality of emergency medical services, especially focusing on issues such as patient safety, team resource management, and the process improvement. In both offshore islands of Taitung County, due to limited medical resources, if there is an urgent medical need without adequate local medical staffs and equipment, it is necessary to rely on air medical transport, in which flight safety and patient safety are the first priority. The ''Air Medical Transport Advance Medical Order'' executive program constructed by physicians, nurses from health clinics of both offshore islands, the air medical transport team, Taitung County Fire Department consultant and air medical consultants in the spirit of team resource management. The implementation of the executive program had been announced on Oct. 27, 2020. Based on the needs of users, it should be convenient for offshore-island doctors to quickly issue medical orders, unified offshore-island nurses' emergency medicine allocation methods, and strengthen the safety of air medical transport team in doing orders. This is a cross-team and cross-field drug-delivery standard operation procedure of air medical transport. It will break a new ground for the history of air medical transport in our country for improving patient safety.