兒童血液腫瘤科

Ⅰ. Objective 目的：
To obtain knowledge of bone marrow functions as a reference for hematologic diagnosis, treatment, and tracking
 了解骨髓功能，作為血液疾病之診斷治療及追蹤上的重要參考。
Ⅱ. Examination Procedure 檢查程序：
ⅰ.Before the examination, the physician explains the child patient’s condition and provides an Informed Consent Form for Pediatric Bone Marrow Examination and Informed Consent Form for Sedative and Analgesic Medication Administration to the child’s parent. After she or he has read and understood the content of both consent forms, the child’s parent is required to complete the forms and submit the duplicates to the nurse.
ⅰ.檢查前醫師解釋病情後，會給予「兒科骨髓檢查告知同意書」及「鎮靜止痛告知同意書」各兩份，了解及填寫完畢後，請將其中一份交由護理人員。
ⅱ. The child must not eat or drink anything for 2 hours before the examination.
ⅱ.檢查前兩小時請禁食。
ⅲ. The child should urinate directly before undergoing the examination.
ⅲ.請病童先排空膀胱，再至治療室做檢查。
ⅳ.The child is sedated under a general anesthesia before the examination. The nurse then instructs the child to lie on his or her side with knees drawn up to his or her chest to expose the puncture site for the examination.
ⅳ.檢查開始前會先給予病童全身麻醉，讓病童全身放鬆，護理人員會協助病童採側臥屈膝姿勢，露出穿刺部位準備開始檢查。
ⅴ.During the examination, the child’s blood pressure and blood oxygen content are measured every 5 minutes. The child may receive oxygen supplementation if deemed necessary.
ⅴ.執行過程中，每五分鐘會監測一次血壓及血氧變化，並視需要給予氧氣使用。
ⅵ.Once the examination is completed, the puncture wound is wrapped in a gauze bandage fastened with tape.
ⅵ.檢查結束後，傷口以紗布覆蓋及膠布固定。
Ⅲ.Post-Examination Instructions 檢查注意事項：
ⅰ. After the examination, the child should lie in a lateral or prone position. The child’s parent should press the puncture site with both palms for at least 30minutes and be constantly alert for any blood that oozes through the bandage.
ⅰ.做完檢查後，需側躺或趴睡，請家屬在穿刺部位以雙手手掌加壓至少 30分鐘，隨時觀察紗布是否有滲血情形。
ⅱ.The child must be kept under observation in the treatment room for 30 minutes,during which his or her blood pressure and blood oxygen content are measured every 15 minutes.
ⅱ.病童須於治療室觀察 30 分鐘，期間護理人員會每 15 分鐘監測一次血壓及血氧變化。
ⅲ.Notify the nurse immediately if the child feels any discomfort or if pain and constant bleeding occur around the puncture site.
ⅲ.若出現不適或穿刺部位有疼痛及持續出血情形，請立即告知護理人員。
ⅳ. After awakening from anesthesia, the child is allowed to eat if she or he does not feel nauseous or vomits when drinking water.
ⅳ.清醒後，若喝水無噁心及嘔吐情形，即可進食。
ⅴ.The nurse redresses the wound on the puncture site and covers the dressing with a plastic bandage 24 hours after the examination or when deemed necessary. When the wound dries, the parent can remove the plastic bandage; the child is then allowed to shower.
ⅴ.24 小時後或視需要護理人員會在穿刺部位換藥，並以 OK 繃覆蓋，傷口乾燥後，可移除 OK 繃並可洗澡。
Ⅳ.Please feel free to ask our nurses any questions you may have.
 有問題請隨時提出，護理人員非常樂意爲您服務。

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