嚴重特殊傳染性肺炎(covid-19)於2019年12月起，國外一波接著一波，台灣在亞洲堪稱防疫模範生，但今年5月起院內感染一樁又一樁出現，雙北市疫情相當嚴峻，醫療量能緊迫讓醫護團隊疲於奔命，本院有幸收治全國十分之一的病人，其中亦有血液透析病人，因此修訂流程以符合隔離室及加護病房血液透析之需要，抗疫過程突顯團隊領導的重要性，我們不斷學習、修正、精進，除了所有的病人能受到妥善照顧外，更希望工作同仁都能全身而退，因此藉由自身抗疫的深切經驗，分享透析主管在疫情中需要扮演的角色，正視疫情對透析病人的身心衝擊及護理師思維態度的轉變，期盼此經驗對未來面對多變的疫情能有更多元的因應方式。

In December 2019, coronavirus disease of 2019 (COVID-19) emerged in Wuhan China and soon the virus spread around the whole world. Thanks to prompt institution of proper quarantine and infection control policies, Taiwan had few COVID-19 cases in 2020. However, in May 2021, community outbreak started and hospital clusters were identified, mainly in Taipei and New Taipei cities. The abrupt increase of COVID-19 cases posed a big challenge to the medical system. Hospitals and medical teams were forced to make changes to buffer the damages of the virus. So far, around 10% of the confirmed COVID-19 cases in Taiwan has been treated in Far Eastern Memorial Hospital, including patients under hemodialysis. For COVID-19 patients under hemodialysis in the outpatient hemodialysis unit, ward, and intensive care unit, we modified dialysis treatment procedures to meet the regulations of infection control for COVID-19.
Team leadership is especially important during crisis such as COVID-19 outbreak. The care of patients is important, and even more important is how to keep team members safe. During the fight with the virus, we continuously learn from experience and make proper adjustment to cope with the ever changing challenges. Here, we provide our opinions on the expected roles of a leader in a dialysis team. We also share our observations of the impacts of COVID-19 on patients and nursing staff. We hope that share of our experience can help make possible efficient and flexible responses to future COVID-19 outbreaks.