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Full-time pharmacists in the pharmacy department of China Medical University Children's Hospital offer outpatient, emergency, inpatient, traditional Chinese medicine, and special preparation and dispensing services. To improve and protect children's medication safety, Children's Hospital has introduced health information technology (HIT) as an effective systematic assistance to raise the quality of medical care. In terms of physicians writing out prescriptions, the computerized physician order entry (CPOE) was imported to strengthen the combination of medication alerts and clinical decision support (CDS). In terms of pharmacists dispensing medicines, the bar-code medication administration (BCMA) was introduced to reinforce the function of drug checks and reduce dispensing errors. With respect to medication delivery, the barcode medication status query system is also used to provide real-time and effective information on drug status and ensure correct delivery. Regarding medication administration, the barcode system of drug administration and patient identification has been strengthened to ensure the administration of medication to children and improve medical quality. In terms of the implementation and evaluation of pharmaceutical care, responsible pharmacists work with the medical care team to provide guidance on discharge medication for children to ensure proper follow-up care. A clinical pharmacist is dispatched to neonatal and child intensive care units to regularly evaluate medication usage per bed, and discuss with the medical team to ensure the medication is safe and documented. We provide information on the use of medicines for children and their families through a variety of channels, such as children medicine and health education activities, medication and health education information inquiry websites, telephone advisory lines and e-mails, or reflect drug use problems to enhance understanding of medication taken to improve medication compliance. The pharmacy department offers quality pharmaceutical care services in line with the Hospital's service tenets.
Nursing department supervisor Ruo-hua Lee and the team led by her are excellent in nursing diagnosis and guidance for premature infants. The Hospital trains nursing staff to assess and care for projected preterm pregnancy, and pediatric nursing staff in prenatal care and emergency treatment of premature babies after birth, consultation and transportation procedures, developmental problems of premature infants and care methods at different stages, all of which have sustained effects. With the efforts of the nursing team, the discharge preparation and follow-up programs have been able to ensure premature infants' happy and healthy growth. The team is dedicated to pediatric care, especially neonatal care, with outstanding performance. Our nurses have the right assessment knowledge and diagnostic skills to understand the physiological changes of the respiratory, cardiac, gastrointestinal, neurological, and endocrine systems in the newborn, to help the newborn face postpartum adaptation problems, and to assist with the establishment of a close attachment and emotional connection between the mother and the newborn.
Pediatric pathology is a subspecialty of the pathology division, which is an indispensable part in a well-equipped children's hospital. In addition, childhood diseases differ significantly from adult ones, and many diseases must be diagnosed by a pathologist with a professional background. Pediatric pathology services cover a wide range of diseases involving children of all ages, fetuses and placentas. Additionally, professional pediatric specimen tests include pediatric common tumor interpretation, pediatric leukemia and lymphoma diagnosis, extensive infectious disease detection, and chromosome analysis.
What We Do
We are a team of social workers, either clinically licensed or certified, providing social work services at Children's Hospital. We provide specialized services to children and families and are a member of the medical team. Our expertise and contributions to the patient’s care involve psychological and social impact of the health care needs on the family system. Comprehensive psychosocial assessments Crisis intervention Patient and family short-term counseling Advocacy Information and referral to hospital and community resources Liaison with community agencies Assessments for suspected abuse or neglect Discharge evaluation regarding impact on family Financial resources Ongoing psychosocial services for chronically ill children We also participate in multidisciplinary committees and offer educational in-services to staff and medical residents.
The Division of Clinical Nutrition of China Medical University Children's Hospital provides nutrition consultation for inpatients and outpatients of all ages. Our nutritionists have the experience of caring for growing children and can help families improve their children’s nutritional status. As hospitalized children have varying degrees of illness due to the progression of their illness, we believe that offering nutritional, physical and psychological support to children and their parents can improve their dietary problems and achieve good nutritional status. All the clinical dietitians and nutritionists in the Division have passed the senior civil service examination, and are committed to helping sick children and their families to prepare and carry out appropriate nutrition programs to meet medical needs. In-patient Service: Clinical dietitians provide individual dietary guidance, meal supply, special enteral feeding and intravenous nutrition, and other care for hospitalized children, as well as child nutrition assessment with respect to the following parts: Growth assessment, prescription/feeding advice, assessment and monitoring of special diets, diet and health education for sick children and their families, and assessment of dietary status. If your child needs tube feeding at home, we recommend incorporating the child's nutrition scheme into the discharge plan. Before discharge, the patient needs to consult a dietitian about nutrition and diet through a physician or specialist nurse. The dietitian will recommend appropriate dietary adjustments and special nutritional prescriptions based on the assessment of sick children and family status. Nutritional Support Service: A nutritional support team consisting of physicians, dietitians, and pharmacists routinely monitors the condition, nutritional status, and blood biochemical data of patients in need of intravenous nutrition support to ensure the rationality and safety of nutritional support for sick children. Moreover, we also have a home-based parenteral nutrition care team that routinely follows up patients who need parenteral nutrition support at home. Outpatient Service: The nutrition clinic is run by professional dietitians who have passed the senior civil service examination. If you need to register with nutrition clinic No. 253, we provide more in-depth nutritional assessment and guidance based on the following items: Nutrition and growth status, tube feeding, special or restricted dietary evaluations, growth failure, and weight control.
Division of Pediatrics of Traditional Chinese Medicine
Before the establishment of an independent division of pediatrics of traditional Chinese medicine (TCM) in Children's Hospital, the Hospital's medical and teaching services concerning TCM pediatrics were supported and helped by China Medical University Hospital’s division of TCM pediatrics. Children's physiological structure and disease type are totally different from adults’, and there are also differences in the process of diagnosis and treatment methods. Therefore, we hope that in the future, TCM pediatrics can be specialized, and that through professional training, the trained doctors in the Division can meet a certain level of requirements. As modern Chinese medicine, the Division will uphold the spirit of empirical medicine and actively promote clinical research in addition to clinical practice and teaching. The Division was set up at the inception of the Hospital. In addition to TCM pediatrics, the Division integrates modern medicine and complements each other's strengths for the benefit of patients. The Hospital is the only hospital in Taiwan that has a specialty in TCM pediatrics, and it has had some useful experience in treating incurable diseases in children, such as leukemia, atopic dermatitis, lupus erythematosus, allergic rhinitis and asthma. For example, the application of TCM to relieve asthma symptoms and reduce the dosage of steroids has all achieved good results. The Division is currently actively exploring the treatment of allergic rhinitis and asthma. The nose-clearing decoction and the ophiopogon variant decoction developed by us have been proved to be effective. The Division’s clinical trials on asthma have no rivals in Taiwan. Among them, clinical trial papers indicating that TCM can effectively improve the lung function of asthmatic patients and lower the use of steroids were published in Pediatric Allergy and Immunology, and Phytotherapy Research, and other international journals, showing that Chinese herbal medicine in preventing and treating asthma has a bright future. In terms of the cooperation between Chinese and Western medicine in children's cancer care, the Division also actively builds a joint research team with pediatrics of Western medicine to develop the best model of pediatric disease care through cooperation. In the future, the Division will continue to focus on the promotion of clinical medicine and teaching inheritance. Through the exchange and academic discussion between the Division and domestic and foreign hospitals, as well as the achievements of long-term training of doctors both at home and abroad, the Division of Pediatrics of TCM will be a leader in the field of TCM pediatrics in Taiwan and become a world-class clinical and academic center.