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我也有質詢過就是醫事放射師薪資過低的問題以及你們解釋他們說可以去打顯影劑的問題那今天呢 我繼續從這個藥物過敏病人的權益來凸顯這裡面的健康不平等的問題那在2017年林口腸跟分析健保資料庫發表在這個"},{"start":255.487,"end":277.022,"text":"發表在這個Shark雜誌的這個研究顯示台灣每年大概有300名過敏性的休克案例其中高達八成是藥物過敏性休克嚴重的病例會死亡那關鍵在於出現了相關症狀如何緊急處理結果你們衛福部卻擴全顯影劑可以由醫事放射師來打因為我問過"},{"start":278.103,"end":295.304,"text":"他們的專業人員打顯影劑其實不困難但是關鍵在於藥物過敏生理反應的辨識跟緊急的處置因為在你們的這個法律依據是醫師法28條的第一項第二款那我想請教一下那個時署長"},{"start":298.267,"end":314.443,"text":"這個因為是想要請問一下前任的次長因為不具醫師資格而執行醫療業務所定的法則可以擴大解釋為只要醫師不願執行的業務都可以根據這條法律來授權出去嗎"},{"start":315.464,"end":335.505,"text":"好因為這條法律的這個目的明明就是任何非醫師資格的醫事人員去侵犯到醫師業務的執行權所這個應該接受懲罰的規定這裡面除了就是裡面排除了在醫師的監督下然後協助執行業務的其他醫事人員可以免罰但"},{"start":336.306,"end":357.165,"text":"目的是要免罰不是要擴權我必須要在這裡強調那因為責任還是在醫師結果你們把它就是說解釋成任何你們認定的醫療業務都可以交由非醫師來執行我想這樣子也算就不就是也是侵犯到民眾的健康的平等權嗎還有這個醫師的這個業務執行權"},{"start":362.109,"end":377.977,"text":"難道只是因為他們給付過低所以只好要求就要求這個最低薪的這個醫事放射室去做我想這樣子的解釋真的就是說有這個曲解法令草菅人命的感覺那時署長我要問署長如果萬一你要打顯影劑"},{"start":379.819,"end":379.979,"text":"你放心嗎?"},{"start":404.339,"end":433.448,"text":"你看如果有一點疑慮的話那就證明健康不平等的一個真實存在因為你的身份我相信說今天一定會有醫師為你服務可是一般民眾應該沒有這樣的資源也不知道自己會不會對顯影劑過敏那萬一出現了這個過敏反應的時候那醫師方則是有能力處理嗎那有醫師的緊急跟照護治療是不是會更安全那這樣子就是說比較不會造成嚴重的後果"},{"start":434.568,"end":452.383,"text":"那我很快就是說我們看一下簡報這是中華民國放射科醫學會的專業手冊陳委員是不是請他們明確答覆你之後我們可能就要進行法條的處理好不好"},{"start":454.665,"end":478.69,"text":"好那是不是給他們回應一下快速回應好不好我想醫療是一個團隊剛剛您我們可以看前面那一張絕對沒有說所有的醫療業務都可以委託由非醫師來做不可能這麼擴淺這個都是有他哪些可以給不可能一個團隊全部都是所有的照護行為"},{"start":479.79,"end":504.11,"text":"都是醫師做 那我覺得醫師可能先做我想那個重點我們不是我們體恤醫師的辛勞現在這個重點在於說在於說這個有沒有但是醫師其實是要負責任如果是你監督之下做的醫師還是要負責任 不是由譬如說放射線師或是來做這個打針打進去這個動作"},{"start":507.273,"end":536.259,"text":"大概醫師是在監督下的那個醫師的監督我可以理解啦齁但是我現在重點講了嘛就是說如果你們堅持我也沒有說一定不行要反對怎麼樣齁因為剛剛有跟石署長請教石署長你說那個那個要打心理劑之前那個要請護理師都會軟管軟針都是護理師打都是護理師打嘛阿現在不是嘛"},{"start":539.085,"end":546.613,"text":"對啦我現在講的狀況就不是啦不是不是在打那個SET那個IV那個那個軟管軟管是護理師好啦事實上躺在那邊的時候就開始說不是啦"},{"start":555.923,"end":575.581,"text":"你都說嘛護理師打這個軟針的時候但是現在是放射是要去打嗎要去打那個藥進去那為什麼要打那個藥進去的時候連那個軟針都是他們啦我現在講實際案例給你聽啦你不要抗拒沒有沒有我本來了解沒關係那沒有關係如果"},{"start":579.705,"end":600.445,"text":"真的人力缺乏怎麼樣那都沒有關係你們都可以看你們要怎麼調整就是說你們堅持就是說醫事放射師可以打血飲劑然後可以去做到前面那些動作我是建議這樣子你們提高薪資及注射給付然後第二個"},{"start":601.586,"end":619.187,"text":"實施養成教育訓練之後由國家發起證照然後最後修訂那個醫事放射師的業務職權這樣子才不會有健康不平等的問題我想就是以上這樣的訴求我簡單再回應一下就是其實我們已經跟放射線師跟市的協會已經有工會已經有討論過也請他們建議他們的一個"},{"start":622.39,"end":629.955,"text":"我們會再跟相關的團隊再討論總是維護民眾品質但是又能夠運作的一個醫療的作業你們想要怎麼處理我都沒有意見那管治環境跟薪資我們當然都會注重兩兆是不是這樣好不好你們不處之處是用書面的方式來做答案好不好好 謝謝"}]}},"supported_relations":[],"relations":[]}