Chapter 1 The demonstration scheme of disinfection supply facilities is to implement the decision-making arrangements of the CPC Central Committee and the State Council and the requirements of the provincial, municipal and district epidemic prevention and control headquarters, not to relax the work of "external defense and internal defense rebound", and to do a good job in the prevention and control of epidemic normalization. Combined with the actual situation of our hospital, this plan is formulated.
I. General requirements
Strictly implement the "four mornings" principle, comprehensively consolidate the "five have three strictness" (there are protection guidelines, prevention and control management systems and responsible persons, protective materials and equipment, medical security, isolation and transshipment arrangements, strict hot spot outpatient management, serious epidemiological investigation and strict prevention of nosocomial infection), and establish and improve the epidemic prevention and control mechanism to fully protect people's health.
Second, the focus of work
(1) Pre-inspection and diversion
1. Pre-inspection and triage setting The pre-inspection and triage desk is located at the entrance of the hospital hall, and the entrance and exit are separated independently. Complete protective equipment. Go to work after passing the training, master the knowledge of epidemic prevention and control in COVID-19, and be familiar with the information of medium and high risk areas in COVID-19.
2. Workflow
(1) The pre-inspection and triage office is on duty 24 hours a day, and the system of two people and two posts is implemented.
(2) Employee level protection post.
(3) All personnel entering medical institutions should take their body temperature, check their health codes and travel codes, check whether they wear masks or not within 4 days, keep a distance of one meter, and ask about epidemiological history, contact history and ten symptoms of COVID-19).
(4) Register the information of fever patients in detail, such as the Register of Pre-inspection and Triage of Medical Institutions and the Information Monitoring Table of Pre-inspection and Triage of Primary Medical Institutions. The information of accompanying doctors of suspicious patients should also be registered. All patients with COVID-19's top ten symptoms should be told to have a nucleic acid test first, and only when the nucleic acid test is negative can they seek medical treatment.
(5) The pre-inspection fever patients are guided to the fever sentinel clinic by designated personnel and handed over. Complete terminal disinfection and record.
(6) Complete terminal disinfection and record.
(2) fever clinic
1, the fever sentinel clinic is set in a separate area with three districts and two channels. It is equipped with diagnosis, inspection and protection equipment and facilities such as diagnosis desk, diagnosis chair, examination bed, computer (doctor's workstation), printer, telephone, stethoscope, sphygmomanometer, thermometer, disposable tongue depressor, secondary protective articles, medical waste bucket, ultraviolet lamp, disinfection sprayer, quick hand disinfection, and emergency rescue drugs and equipment.
2. Workflow
(1) Outpatient staff of fever whistle should be trained and qualified before taking up their posts.
(2) Re-measure the temperature of fever patients twice, register the information of fever patients, and make a network report within 2 hours. Guide patients to the nearest fever clinic, and it is forbidden to take public transport. Track the patient's whereabouts within two hours.
(3) If it is necessary to stay under observation, it shall be registered, and the stay under observation shall be lifted with the negative report of nucleic acid detection. Once the positive result of nucleic acid test is received, it should be isolated on the spot immediately and reported to the hospital epidemic prevention and control team immediately.
(4) Complete terminal disinfection and record it, and standardize medical waste treatment.
(3) strict outpatient management
1. Set a waiting area in the outpatient corridor to prevent patients from gathering.
The patient always wears a mask.
3, the implementation of one outpatient service.
4. Keep a distance of one meter.
5, key departments: the implementation of secondary screening.
6, completes the department disinfection, and record, standardize the treatment of medical waste.
Chapter II Demonstration Scheme for Disposition of Disinfection Supply Facilities This scheme is formulated in order to effectively standardize the preventive disinfection work in all public places in Lilac Town, prevent and control the spread of new coronary heart disease-infected pneumonia in public toilets and other key public places prone to epidemic spread, and ensure the safety of people's lives.
First, the principle of disinfection work
1. Define the scope and object of disinfection. During the new outbreak of coronary heart disease, public places (including government buildings, government service halls, office buildings and public areas, roads for cadres and workers' dormitories, street concentration places, bazaars, office buildings and village villagers' groups concentration places, isolated living quarters for returnees in medium-risk areas, ex situ poverty alleviation relocation sites, public toilets, garbage pools, garbage bins and garbage transfer stations) will be used.
2. Clear disinfection methods. According to the different disinfection objects and disinfection parts, the appropriate chemical disinfectant is selected, and chlorine-containing disinfectant or compound double-chain quaternary ammonium salt disinfectant is suggested. On the premise of cleaning, the surface of the object is mainly sprayed and disinfected according to the concentration and time of action to ensure the disinfection effect. Chlorine-containing disinfectants must be ventilated and cleaned with clean water after being used for a specified time.
Second, the disinfection personnel work requirements
The staff of preventive disinfection must take correct protective measures, and check their body temperature before work every day. Before starting work, their body temperature should not exceed 37.3℃. They must wear masks and disposable rubber or latex gloves at work, take good care of disinfection supplies after work, and keep records of disinfection places as required.
Third, the main contents of disinfection
Disinfection of key areas and public * * * areas is based on the principle of territorial management. Villages and departments should fully perform their main responsibilities and be responsible for disinfection of key areas and public * * * areas within their respective jurisdictions.
1. The town is responsible for the disinfection of government buildings, government service halls, cadres and workers' dormitories, government canteens, street centralized places, public toilets, garbage pools, garbage bins and garbage transfer stations, and carries out disinfection regularly every day.
2. Each village is responsible for the disinfection of office buildings, toilets and areas in the village, and carries out disinfection regularly every day.
3. The school is responsible for disinfection of classrooms, public toilets and other public areas where township schools and kindergartens are located, and disinfection is carried out regularly every day.
4. The town health center is responsible for the disinfection work in the living area of the isolated object in the risk area of each village and in the building of the town health center, and carries out disinfection work regularly every day.
5. The town civil affairs office is responsible for guiding and supervising the disinfection work of civil affairs service institutions such as nursing homes, and disinfecting regularly every day.
6. The market supervision and management office is responsible for guiding the disinfection work in public areas, restaurants, small restaurants, small delicatessens, small food processing shops and other areas of the urban trading market, and disinfecting regularly every day.
7. Disinfection of public areas of units directly under the town shall be carried out in accordance with the principle of territorial management, and disinfection shall be carried out regularly every day.
Four, disinfection work requirements
1. Strengthen technical guidance. Town health centers should strengthen the technical training of disinfection work, focusing on the selection of disinfection parts, objects, disinfectants and equipment, disinfection process, matters needing attention in disinfection process, personal disinfection protection, etc. Where the technical force is weak, on-site training can be arranged according to the actual work needs.
2. Strengthen supervision and dispatch. Special classes for disinfection work in key areas of Lilac Town and public * * * areas should strengthen supervision and dispatch of disinfection work in key areas of villages and departments and public * * * areas. When problems are found, it is necessary to promptly supervise the implementation of rectification, and all villages and departments should report the disinfection situation on the same day to the office of the town epidemic prevention and control headquarters.
3. Strengthen material security. The logistics support group (DangZhengBan) should fully guarantee the funds, materials and equipment needed for disinfection, strictly implement various safety protection measures, and resolutely put an end to the disinfection staff being infected.
Part III: Demonstration scheme of disinfection supply facilities I. Main responsibilities
Under the unified leadership of the Party Group of the Municipal Health and Wellness Committee, the logistics support of the Municipal Health and Wellness Committee has established the procurement, storage, allocation and supervision system of epidemic prevention and control medical materials, so that the epidemic prevention and control material support can be carried out efficiently, scientifically and transparently. According to the principle of material support, the logistics support group timely purchases urgently needed materials for epidemic prevention and control, and at the same time formulates a long-term material procurement plan to ensure that it is prepared. At the same time, it is responsible for the pre-inspection and triage, patient observation, nucleic acid laboratory detection, epidemiological investigation, disinfection and sterilization of medical institutions and disease prevention and control institutions at all levels; Do a good job in the supervision of the municipal government and relevant departments on the prevention and control of epidemic situation in COVID-19, the protection of personnel in key places (such as schools and educational institutions directly under the municipal government), the supervision and guarantee of superior departments, the municipal epidemic prevention and control headquarters and the special work supervision team, and the protective materials in the implementation of special tasks.
Second, the working principle
1, coordinated operations, division of labor. The related safeguard work of epidemic prevention and control materials is carried out under the unified leadership of the party group of the Municipal Health and Health Commission, and coordinated operations and division of responsibilities are implemented. In the logistics support group, it is the duty of the relevant departments to actively cooperate with * * * and obey the overall situation of epidemic prevention and control.
2, unified scheduling, dedicated. At present, the epidemic prevention and control has entered a protracted war, and the medical institutions at all levels in the city's health system have a large demand and consumption of epidemic prevention and control materials. Under the unified leadership of the Party Committee, the materials for epidemic prevention and control shall be scientifically arranged for procurement, storage, allocation, distribution and supervision, so as to ensure the exclusive use of prevention and control materials.
3. Practicing economy and ensuring the front line. In the prevention and control work, all units should use materials in line with the principle of strict economy and put an end to waste. Save consumables such as masks and protective clothing, and cherish the use of non-consumables such as temperature measuring gun and disinfection facilities. All prevention and control materials must first ensure that front-line prevention and control personnel and non-front-line prevention and control personnel do not use high-standard prevention and control materials such as N95 medical masks.
4, open and fair, accept supervision. Regularly send a list of procurement, deployment, inventory and donation of prevention and control materials to the discipline inspection team of the Municipal Commission for Discipline Inspection in the city, and accept supervision.
Third, the division of work.
1, prevention and control of material procurement. The procurement of prevention and control materials shall be approved by the logistics support team and reported to the epidemic prevention and control headquarters of COVID-19 for approval.
2. Reserve, allocate and distribute prevention and control materials. The prevention and control materials are stored in the special warehouse of the Municipal Health and Wellness Commission. With the consent of the logistics support team, Fan, * * * is responsible for the warehousing, deployment and distribution of prevention and control materials. Medical equipment has been distributed to all medical institutions in counties, cities and municipalities directly under the central government by Liu Hao, deputy director and medical administration department. At the same time, it is necessary to establish and improve the warehousing procedures for all kinds of materials.
3, prevention and control materials contract signing and settlement. Deputy directors Zhao and Huang are responsible for reviewing and signing procurement contracts and agreements; The financial department shall timely allocate the purchase expenses of prevention and control materials.
Fourth, the scope of prevention and control materials allocation
1, medical devices for epidemic prevention and control. All of them were deployed to medical institutions at the city and county levels for testing and testing in the prevention and treatment of infectious diseases.
2, medical protective masks (N95), medical protective clothing, medical isolation clothing, goggles and other high-standard protective materials. Used to help front-line medical staff in Hubei; Front-line epidemic prevention personnel, pre-inspection triage personnel and observation ward staff of medical institutions in the city; Laboratory testing personnel, transport personnel and disinfection personnel of medical institutions such as CDC and Fourth Hospital; Designated isolation hotel contact with fever patients, the municipal government and relevant units in-depth research and supervision of medical institutions, the municipal epidemic prevention and control headquarters and the work steering group; Others need a high standard of protection.
3, medical surgical masks, general medical masks, medical gloves, disinfection supplies and other general protective equipment. For the general staff of the municipal government and the relevant units for office use; Use of key places and key personnel; Other epidemic prevention purposes.
Chapter IV: Demonstration Scheme of Disinfection Supply Facilities Configuration Since the outbreak of COVID-19 epidemic, Xuancheng Campus has implemented a series of strict and standardized prevention and control measures under the unified command of the school and the leading group for epidemic prevention and control in the campus, and the campus prevention and control work has achieved initial results. With the direct leadership of the school and the campus party committee administration and the strong support of Xuancheng municipal government's prevention and control headquarters, the campus prevention and control materials working group has reserved a limited number of epidemic prevention and control materials. In order to give full play to the role of prevention and control materials in campus epidemic prevention and control, the leading group for campus epidemic prevention and control decided to issue corresponding distribution management measures for the first phase of school epidemic prevention and control materials, as follows:
A, material management:
All channels of prevention and control materials are managed, allocated and distributed by the leading group for epidemic prevention and control on campus, and implemented by the campus prevention and control materials support group.
Second, the material storage:
Establish a separate warehouse and account, especially inflammable and explosive articles such as alcohol, which must be stored in a cool and ventilated place, away from light. Fireworks are strictly prohibited to ensure the safety of materials.
Third, the distribution principle:
Open and transparent, overall planning, comprehensive coverage, highlighting key points, efficient operation, ensuring supply, and ensuring the actual needs of campus epidemic prevention and control.
Four. Distribution scope:
All units and individuals who work in the first stage of school; At the same time, considering the limited actual quantity of prevention and control materials, campus service contractors are guaranteed to supply them themselves, and only appropriate supplements are made when there are difficulties.
Verb (abbreviation for verb) Type of material to be distributed:
1, personal protective equipment
(1) Indoor staff (mainly government staff): Distribute disposable masks (properly worn by individuals) and 84 disinfectant (sprayed after a certain proportion to disinfect the surface of objects and indoor air). (For safety reasons, individuals will not provide 75% medical alcohol for the time being)
2. Outdoor staff
A. Security personnel: distribute disposable masks (properly worn by individuals), disposable plastic gloves, eye masks, 84 disinfectant (used to disinfect the surface of objects and indoor air after spraying in a certain proportion), 75% medical alcohol (hand disinfection), temperature guns (used only by security personnel) and watering cans;
B. Hygiene and disinfection personnel: distribute disposable masks (properly worn by individuals), disposable plastic gloves, 84 disinfectant (to disinfect the surface of objects after spraying in a certain proportion), 75% medical alcohol (hand disinfection), temperature guns and spray barrels;
C, triage medical staff for fever pre-inspection: distribution of disposable masks (personal correct way to wear), disposable plastic gloves, disposable isolation gown, eye mask, 84 disinfectant (used for surface disinfection after spraying in a certain proportion), 75% medical alcohol (hand disinfection), temperature gun (used only by doormen) and watering can.
2, environmental disinfection materials
The so-called environment here refers to public spaces and floors such as administrative buildings, hospitals, canteens, supermarkets, halls of teachers' apartments (three buildings), inner corridors and elevators. Distribute 84 disinfectant, 75% medical alcohol and spray barrels.
Number of intransitive verbs issued:
1. Disposable masks: in principle, one mask per person per day, and two masks per person per day for special posts (such as doormen, medical personnel, financial personnel, etc.). ) need to be in close contact with other personnel and work continuously for more than four hours;
2. Disposable gloves: one pair per shift (only medical staff and doormen engaged in temperature detection are issued);
3. Eye mask: An eye mask is issued to each person who actually takes up the post every day, and can only be used after being removed and disinfected (only for medical staff and doormen);
4. Body temperature guns: 2-3 guns are distributed at the corresponding positions of the doorpost and the fever pre-inspection and triage, and can only be used after disinfection every day;
5. Disposable gloves: one pair per shift (only medical staff, janitors and financial personnel are issued);
6. One-time isolation gown: one for each class (only with medical staff and doormen);
7.75% medical alcohol: environmental disinfection is calculated according to actual area and public space;
8, 84 Disinfectant: In principle, each office is temporarily equipped with 1-2 bottles (250ml), and the environmental disinfection is calculated according to the actual area and space.
Seven. Distribution process:
1. All units in the school shall submit the application for epidemic prevention and control materials according to the actual work situation. After the approval of the leaders of the leading group for epidemic prevention and control in the campus, the staff of the material support group will establish an account and register it before issuing it;
2. The demand for personal protective equipment is calculated according to the actual number of on-the-job personnel reported by the DangZhengBan duty table in the park. At the same time, all units are required to give consideration to those who really need to return to work in the near future when making demands;
3. The demand for environmental disinfection materials is calculated according to the actual working building.
Chapter V Demonstration Scheme of Disinfection Supply Facilities I. Organization and Leadership
The leading group of school prevention and control work guides the management of emergency materials for epidemic prevention and control, and the specific daily work is organized and implemented by the school logistics support special working group. According to the school's Notice on Establishing a Special Working Group for Epidemic Prevention and Control (No.6 [2020] of South Science and Technology Commission), the leader of the logistics support working group is Comrade Qian, and the deputy heads are Comrade Ge Jian, Comrade Liu Sheli.
The management of emergency materials for epidemic prevention and control is led by DangZhengBan, Logistics Service Center and Assets Department, with the cooperation of Finance Department and Audit Department. The specific work mainly includes material demand statistics, material procurement planning, multi-party contact with sources, timely procurement, material storage, material application, approval and distribution, etc. Responsible for coordinating the use and deployment of emergency materials in the whole school, reporting changes to superiors in time and requesting support.
Second, the specific measures
(a) epidemic prevention and control of emergency materials demand statistics and procurement plan
1, emergency material demand statistics. All units and departments shall, according to the needs of work, make statistics on material demand and report the material list. The list of materials mainly includes the name, specification, quantity and urgent need of materials. Emergency materials for epidemic prevention and control mainly include disinfectants, masks, temperature measuring instruments, protective clothing and other items, and other items are purchased by all units and departments in accordance with the relevant regulations of the school.
2. Emergency material procurement plan. The special working group of school logistics support summarizes and counts the material demands of all units and departments, and, in combination with the requirements of superiors, the present situation and future trends, regularly and fully studies and scientifically formulates the bulk purchase plan of prevention and control materials, and forms the List of Bulk Purchase of Emergency Materials for Epidemic Prevention and Control in Nanjing Vocational College of Science and Technology (Annex 1), which is reported to the leading group of school epidemic prevention and control for study and determination.
(two) contact and procurement of epidemic prevention and control materials
3. Contact information of emergency materials. The relevant departments of the school are in close contact with the local government and the education department, and try their best to take a multi-pronged approach and actively do a good job in the contact of emergency materials supply.
4. Implementation of emergency material procurement. With the consent of the school's leading group for epidemic prevention and control, relevant departments should rationally select procurement channels and implement material procurement in a timely manner according to the material bulk procurement plan. For the emergency materials that are in short supply in the market and in urgent demand and cannot be obtained through regular procurement, the logistics support working group will put forward relevant suggestions (specifying the procurement method, name, quantity, unit price, etc.). ) (attachment 1), which will be implemented after being studied and approved by the school leading group for epidemic prevention and control.
(3) Storage and application of epidemic prevention and control materials.
5, emergency supplies storage. When the emergency materials purchased in bulk arrive at the school for storage, they must fill in the Receipt of Emergency Materials for Epidemic Prevention and Control of Nanjing Vocational College of Science and Technology (Annex 2) or the delivery list issued by the supplier, establish a ledger, make regular inventory, and arrange special personnel to properly keep the materials (Annex 3).
6, emergency supplies application recipients. Emergency materials shall be distributed and used in accordance with the principle of "centralized management, unified deployment, departmental application, approval and requisition", and a material distribution account shall be established to specify information such as warehousing and requisition, name and quantity, date and personnel. All units and departments apply for materials according to the needs of their work, and receive relevant materials with the approval of the office of the leading group for epidemic prevention and control of the school. The receiving department appoints a special person to keep the materials properly, and keeps the distribution records for future reference. The school epidemic prevention and control work leading group can combine the work needs to urgently allocate emergency materials.