In order to fully implement the central and provincial, municipal on the new crown pneumonia epidemic normalization of the deployment of prevention and control work, continue to consolidate and expand the city's epidemic prevention and control of the good situation, and to further strengthen the prevention and control of infection in health care institutions, is now on the relevant matters as follows:
One, continue to do a good job in the medical treatment work. In accordance with the requirements of the higher level, continue to do a good job in the city's new coronary pneumonia patients treatment work, so that the designated hospitals are not withdrawn, the isolation of the sick zone is not compressed, stay in beds are not reduced, retain the city and county expert groups and medical treatment team, infection prevention and control team, Chinese medicine medical service team three expert team establishment, give full play to the city and county expert team clinical diagnosis and treatment guidance role. The implementation of non-emergency patients with full appointment booking, in addition to emergency, fever clinic, are required to make an appointment before consultation. Medical institutions above the second level should publish the relevant booking methods and methods of diagnosis and treatment to ensure that patients can make appointments through the hospital outpatient booking telephone, the Internet, WeChat public number and other ways to minimize the gathering of people.
Two, highlighting the key parts, strengthen the key aspects of management. Guidance at all levels and types of medical institutions to actively do a good job of pre-screening and triage, standardize the setup of the existing 26 fever clinics, the strict implementation of the "three zones and two channels" management requirements, the first time the suspected cases to take measures to stay under observation. Each isolation ward is equipped with an independent bathroom, and the isolation ward is managed in a closed manner, with no accompanying or visiting arrangements, and patients in isolation are not allowed to leave the isolation room unless necessary for diagnosis and treatment. Do a good job in the entry of isolation personnel and key areas of the epidemic to Thailand personnel medical management, the diagnosis and treatment process is strictly separated from other diagnosis and treatment of the crowd separation of entrances and exits, separation of diagnosis and treatment areas, separation of personnel, separation of the route of diagnosis and treatment. All medical institutions should set up pre-screening and triage points in outpatient clinics, check the wearing of masks, measure body temperature, check health codes, ask for epidemiological history carefully, and check identity information and booking information. The competent health authorities will regularly and irregularly go into medical institutions to supervise and inspect the standardization of fever clinics and pre-screening clinics. To implement the first diagnosis responsibility system, fever clinic medical staff should master and implement the new crown pneumonia prevention and control and diagnosis and treatment program. Personal protection should be strengthened, and the collection, transportation, preservation and testing of nucleic acid samples of the new coronavirus should be standardized. The new coronary pneumonia suspected or confirmed patients, medical staff should be in accordance with the relevant provisions of the rapid reporting and isolation, and timely transfer to the designated hospital for further diagnosis and treatment, shall not be allowed to transfer patients or leave the hospital.
Three, further strict implementation of hospital infection prevention and control measures. Guidance to all types of medical institutions at all levels to improve the emergency plan and workflow, standardize the disinfection, isolation and health care personnel protection work. Continuously strengthen the management of patient income hospital, medical institutions to develop a screening process for patients admitted during the epidemic. Admitted patients and accompanying staff should be tested for serum antibodies, and high-risk groups should be tested for CT and nucleic acid. Conditional medical institutions can set up transitional wards, the newly admitted patients for single room admission, to be ruled out new coronavirus infection and then transferred to the regular ward for further hospitalization, to reduce the potential risk of nosocomial cross-infection. Strengthen the management of accompanying visitors and ward management, strengthen quality nursing services, and implement non-essential non-accompanying and non-visiting services. Encourage medical institutions to implement video visitation, must accompany and visit, should be strictly limited and good personal protection. For accompanying persons, temperature testing, health screening and information registration should be done, and the scope of their activities should be strictly limited. Actively promote the implementation of zoned management, strengthen access control and security management of patient wards, and prohibit unrelated persons from entering or leaving at will. Strengthening the material reserves of medical institutions, to ensure that the daily medical services and epidemic prevention and control required drugs, reagents, protective supplies are adequately stocked.
Four, strengthen the asymptomatic infected person screening management. Continue to adhere to the "five uniform", all close contacts of all centralized isolation medical observation, all carry out nucleic acid test, and expand the test screening population and scope. For all asymptomatic infected people are found within two hours after the network direct report, and sent to designated medical institutions for isolation observation and treatment, to carry out imaging tests, blood tests and Chinese medicine prevention services; after discharge from the hospital in accordance with the provisions of the centralized isolation and observation for another 14 days, with reference to the diagnosis of the case of good long-term health management after discharge.
V. Strengthen the management of patients discharged from hospitals with new coronary pneumonia. Strictly implement the patients after discharge 14 days, 28 days, three months, half a year follow-up follow-up and nucleic acid test, the implementation of designated hospitals, CDC agencies and grass-roots health organizations group service management, to ensure that "someone to pick up the hospital," "isolation, someone to manage" "Rehabilitation someone to do" "home someone to visit", to realize the hospital treatment and discharge management of the whole closed loop, to ensure that the requirements of the system to put into practice.
Sixth, strengthen the new coronavirus nucleic acid testing power to expand the scope of testing. In the city's existing nine medical institutions nucleic acid testing capacity to enhance the expansion of the basis, to encourage other hospitals with the conditions to actively carry out nucleic acid testing. The four categories of people, fever clinic patients, hospitalized patients and their accompanying personnel, foreign entrants, epidemic key areas to Thailand to return to Thailand, students mapping key personnel, special places, medical institutions, health care workers, teachers, public **** place service personnel, port quarantine inspection personnel and health care and epidemic prevention and control agencies recommend that the investigation of 12 categories of personnel to implement the "should be examined as much as possible". Community workers and volunteers, mother and child service personnel and other key industries are randomly tested at appropriate times in accordance with regulations. The general public is willing to be tested in accordance with the principle of "voluntary and at their own expense". Qualified testing organizations should be in need of units and individuals open testing services, and provide proof of testing. Strengthen the test results of information **** enjoy and socialized application.
Seven, strictly implement the standard prevention. Continue to play the role of the city's hospital infection prevention and control experts lecture hall, regularly organized hospital infection business training. Medical institutions to strictly implement the standard prevention, all types of personnel entering the medical institutions should be correctly selected and wear masks, correct hand hygiene. To strengthen the diagnosis and treatment environment cleaning and disinfection, do a good job of ventilation management, the implementation of zoning management requirements, reasonable division of clean area, potential contamination area and contaminated area, the distinction between medical personnel channel and patient channel. The medical staff should correctly and reasonably use protective equipment in the diagnosis and treatment process, on the basis of the standard prevention, according to the diagnosis and treatment operation of the risk of additional protection.
Tai'an Municipal Commission outbreak disposal work leading group
May 7, 2020