In order to implement the State Council's Joint Prevention and Control Mechanism, the "Overall Program on the Implementation of "Class B B Control" for New Coronavirus Infections," and according to the "General Program for the Prevention and Control of New Coronavirus Infections in Beijing", this program is hereby formulated with the actual prevention and control of the epidemic in the nursing institutions in Beijing. In accordance with the requirements of the "General Program for the Prevention and Control of New Coronavirus Infections in Beijing" and in conjunction with the actual prevention and control of the epidemic in Beijing's elderly institutions, this program is hereby formulated.
I. Work objectives
Clear work objectives. Focusing on "health protection, prevention of serious illness" to prevent the importation of epidemics, prevention of aggregated epidemics, prevention of serious illness as the goal, focusing on epidemic prevention and control of elderly institutions dynamic response mechanism, personnel and goods in and out of the management, the hospital zoning management, environmental prevention and control, daily monitoring, emergency preparedness, emergency response and other prevention and control management measures to strengthen the elderly institutions and medical institutions, the 120 emergency transfer, the elderly institutions and the medical institutions, and the 120 emergency transfer. Institutions and medical institutions, 120 emergency transport, street "three handshake" mechanism, care and other services to ensure that the maximum degree of protection of the life safety and health of people in nursing institutions.
Second, strengthen the work of coordination and guidance
Sound prevention and control measures dynamic response mechanism. After the approval of the districts agreed, non-epidemic, the jurisdiction of the elderly institutions in the strengthening of the health of people in and out of the basis of open management; epidemic, the jurisdiction of the elderly institutions in principle, the implementation of closed management, and according to the actual work of the health of people in and out of the strengthening of the basis of health monitoring in an orderly manner open management. Epidemic epidemic serious, after reporting to the city epidemic prevention and control work leading group agreed, the relevant district can be strictly closed to the jurisdiction of the elderly institutions management, and reported to higher authorities.
The implementation of regular research and scheduling work system. City, district-level elderly institutions epidemic prevention and control work task force should regularly analyze and study the epidemic epidemic situation, timely scheduling and command of elderly institutions epidemic prevention and control work, coordination and resolution of elderly institutions epidemic prevention and control work key issues. When the epidemic is serious, the work should be carried out daily scheduling.
The implementation of elderly institutions epidemic "zero report" system. Supervision and guidance of elderly institutions to establish a 24-hour emergency duty system, nucleic acid or antigen test positive results, must be the first time to fully report the infection, and with the local government to carry out out outbreak monitoring. When the epidemic is serious, urge and guide the elderly institutions to implement a daily "zero report" system.
Three, to prevent the risk of epidemic inputs in nursing institutions
Strengthen the management of personnel access. Supervise and guide nursing institutions to conscientiously implement the personnel in and out of the institution checking and management system, admissions must be checked 48 hours of nucleic acid negative certificate, on-site antigen test negative results. During the period of open management of the institution, the staff of the nursing home can go on duty with a 48-hour negative nucleic acid test certificate and a negative antigen test result on the same day. During the period of closed management of the institution, the implementation of closed-loop management of admitted personnel, return to the hospital for the elderly and return to work employees should first hold a negative nucleic acid test within 48 hours of the certificate, on-site antigen test negative results, and in the centralized health observation point or the institution with the conditions of isolation of the isolation area in accordance with the provisions of the implementation of health observation measures before closed-loop admission to the hospital or in the hospital to live, work. Institutions strictly closed-loop management period, the suspension of family members into the hospital to visit, receive visits to sympathy and other non-emergency necessary admission activities; suspension of the institution of collective dining or gathering activities.
Strengthen the management of goods in and out. Supervise and guide the nursing institutions to strictly implement the relevant provisions of the foreign materials and articles without contact with the handover, the establishment of materials and articles outside the main door of the institution of the handover area, courier and family members to send materials and articles are not allowed to enter directly into the nursing institutions, must be in accordance with the requirements of the provisions of the disinfection of the static.
Strengthen environmental monitoring and risk prevention. Supervise and guide the elderly institutions regularly on the elevator buttons, door handles, sewer outlets and other key environmental points for nucleic acid sampling and testing, to prevent the risk of spreading aerosols such as floor leakage water seals, sewer outlets. Supervision and guidance of elderly institutions to strengthen the daily protection of staff, the elderly, cleanliness and hygiene, meal security.
Four, to prevent the elderly institutions gathered epidemic
Strictly implement the "early detection" mechanism. Supervision and guidance of elderly institutions in the open management period, staff to carry out two weekly full nucleic acid test, the elderly in the hospital to carry out two weekly nucleic acid or antigen test, the staff and the elderly test every other day alternately; in the closed management period, the staff to carry out a daily nucleic acid test, the elderly in the hospital to carry out two weekly nucleic acid or antigen test. Nursing institutions with the conditions, by the health and disease control departments after training and guidance, to carry out their own nucleic acid test sampling and antigen detection; do not have the conditions of the elderly institutions, by nucleic acid sampling personnel door to door norms to carry out nucleic acid test sampling to reduce the risk of infection of nucleic acid test personnel out. Nucleic acid test should be "single pick single test". Districts in accordance with the number of elderly people in the local nursing institutions, the number of staff and the weekly frequency of nucleic acid and antigen detection, free nucleic acid testing, free distribution of antigen detection reagents.
Strengthening regularized health monitoring. Supervise and guide the elderly institutions to carry out daily health monitoring of the whole staff in the hospital and keep records. Fever, respiratory tract infections and other 11 types of symptoms, should be carried out in a timely manner 1 antigen or nucleic acid test, and do a good job of screening, isolation and other disposable work of the relevant personnel, while according to the symptoms of the timely consultation or sent to the hospital. Support the conditions of the elderly institutions for the elderly with basic diseases are equipped with the necessary simple monitoring equipment.
Implementation of zoning management in the hospital. Supervision and guidance of elderly institutions combined with the conditions of the facilities, the implementation of internal zoning management, the establishment of closed-loop management area, mobile management area and health observation area, to prevent cross-infection between different areas. Where medical institutions carry out elderly care services, they should manage the elderly care service area and the medical service area in separate zones, so as to achieve physical segregation and independent settings. Enhance environmental ventilation, internal cleaning and disinfection.
Improve emergency response capabilities. Each district organization health, disease control departments, supervise and guide the elderly institutions in accordance with the requirements of "a hospital a policy" to improve and refine the emergency disposal plan. Guidance within the jurisdiction of the elderly institutions to do a good job of epidemic prevention and control, personnel training, emergency preparedness and emergency status change, epidemic disposal, etc., at least one quarterly emergency plan exercise. Supervise and guide the elderly institutions in accordance with the full operating standards, do a good job of protective materials, care materials life materials reserves.
Strengthen the disposal of epidemic-related. Nursing institutions found positive infected people, should be in the health of the districts, the CDC department of professional staff door-to-door assessment and guidance, in accordance with the principle of "one hospital, one policy", immediately adjust the staff partition and density, the implementation of the transfer of residence, classification and treatment and terminal disinfection and other measures, and immediately carry out the whole staff nucleic acid or antigen test, followed by the results and risk assessment to determine the nucleic acid and antigen. Nucleic acid or antigen testing should be carried out for all staff immediately, and the frequency of nucleic acid testing should be determined according to the test results and risk assessment. To establish and improve the mechanism for the transfer of infected persons in hospitals, to specify the designated second and third level hospitals for elderly institutions, and to establish a green channel mechanism for treatment with them, so that the infected persons in the institutions can be isolated, transferred and prioritized for treatment in the first time.
Strengthening the protection of centralized health observation points. The centralized health observation points will be included in the scope of protection of the districts, used for the centralized health observation of the positive personnel, newly received, rotating or returning personnel in the nursing institutions that do not have the conditions of zoning management. The internal management of centralized health observation points has been strengthened, and the infrastructure conditions and service guarantee staffing have been optimized.
Strengthening the reserve of nursing staff and other emergency support forces. All districts in accordance with the number of elderly in nursing institutions in the hospital 10% ratio of reserve nursing staff and other emergency support force. For the transfer from the nursing institutions to the designated hospitals for the disabled dementia infected people, as well as transferred to the centralized health observation places or nursing institutions in the isolation area of the disabled dementia elderly, should be in accordance with the standard of 1:1 nursing staff. Infected elderly people who have the ability to take care of themselves shall be equipped with nursing staff according to their physical condition.
V. Preventing the death of the elderly in nursing homes from serious illnesses
Strengthening the management of the elderly in the hospital hierarchical classification services. To find out the elderly in nursing institutions combined basic diseases and their new coronavirus vaccination, according to their basic diseases, the new coronavirus vaccination, the degree of risk of post-infection serious illnesses, etc., graded, and to play the primary medical and health care institutions "bottom of the net" and the family doctor health "gatekeepers "
The implementation of the new Coronavirus vaccination program is a major step forward in the implementation of the new Coronavirus vaccination program, as well as in the implementation of the new Coronavirus vaccination program.
Implementing and running a handshake mechanism between nursing institutions and medical institutions. Supervise and guide the establishment of a handshake mechanism with the nursing institutions of medical institutions, through home visits, intelligent home medicine, remote consultation and other means, to provide daily diagnosis and treatment and health monitoring services for the elderly in the hospital, in accordance with the "one person, one file, one person, one strategy" to establish a medical insurance account. Second- and third-tier hospitals that have established counterpart collaborative relationships with nursing care institutions are required to implement green channels for the medical treatment of elderly people with acute and serious illnesses in nursing care institutions. All second- and third-level hospitals in the region should open green channels for the elderly with acute and serious illnesses to seek medical treatment. Strictly implement the first medical institutions responsible for the system, no medical institutions shall not for any reason shirking or refusing to diagnose the region or other regions referred to the nursing institutions of the elderly in acute and critical condition.
Implementation and operation of the nursing institutions and 120 emergency handshake working mechanism. Pressing the local responsibility of the districts, the districts should establish and improve the nursing institutions and transfer agencies handshake mechanism, coordinating the jurisdiction of the 120 emergency, non-emergency transfer resources focused on protecting the needs of the nursing institutions to seek medical treatment. City emergency center to do a good job of elderly institutions emergency transport data monitoring, early warning, the establishment of elderly institutions to protect the services of the chair, in the district resources can not guarantee and other emergencies, co-ordination of scheduling to ensure that the elderly institutions of emergency transport of patients with acute and critical illnesses.
Implementation and operation of the nursing institutions and the local street handshake working mechanism. Continuing to do a good job of elderly institutions drug security, chronic disease management daily medication with the prescription, antipyretic and analgesic, cough expectorant drugs according to the elderly institutions in the number of people in the hospital 20% of the proportion of the person to be stocked. Strengthen the protection of Chinese medicine soup, through the neighborhood committee orderly distribution to the nursing institutions in need of patients.
Strengthening the vaccination against the new coronavirus. According to the new coronavirus vaccination contraindication determination normative process to carry out in the hospital elderly vaccination contraindications determination work, the organization of relatively fixed personnel of the medical team into the nursing home to carry out the new coronavirus vaccination services. Accelerating the increase in the coverage rate of booster immunization with the new coronavirus vaccine, prioritizing the adoption of sequential booster immunization, and striving to "receive as much as possible". On the basis of the first dose of booster immunization, promote the second dose of booster immunization for the elderly in nursing homes.
Sixth, strengthen organizational security
Strengthen organizational leadership. Municipal departments and districts should conscientiously implement the municipal party committee and municipal government decision-making and deployment, in accordance with the responsibilities of the task division of responsibility, strengthen coordination and cooperation, strict implementation of the "four-party responsibility", and do a good job in epidemic prevention and control of elderly institutions and services to ensure that the implementation of the measures in detail. Non-epidemic, the districts should strengthen the role of the lead department, and related departments, the territorial responsibility to form a synergy, actively and steadily promote the implementation of various preventive and control measures in elderly institutions.
Strengthen the implementation of responsibility. City, district departments should be in accordance with their respective responsibilities, according to the actual work in a timely manner to optimize the adjustment of elderly institutions epidemic prevention and control of related policies, play a guiding role in the industry, and effectively strengthen the epidemic prevention and control of guidance services. The districts should widely publicize and emphasize the "four-party responsibility" and the requirements of the measures, respond to the concerns of the public in a timely manner, and properly resolve all kinds of public demand issues.
Strengthening care and concern. All districts should mobilize all levels of organs and party organizations, **** youth league, trade unions and other forces and public welfare and charitable organizations, to take a variety of ways to strengthen the care of the elderly and staff of nursing institutions during the epidemic care and protection of services, and to strengthen the psychological guidance for them to share their worries and alleviate the psychological pressure and anxiety. To supervise and guide the elderly institutions to strengthen the publicity and guidance, the use of telephone, network and other services for the elderly and relatives to provide affectionate communication services.
Strengthening training and supervision and inspection. Municipal departments and districts should be widely carried out in elderly institutions new coronavirus infection prevention and control policies and measures for the deployment of training and policy interpretation; to regularly implement the epidemic prevention and control measures for elderly institutions as well as the implementation of related services to ensure that the implementation of field supervision and flight inspection, focusing on the management of personnel and materials in and out of the implementation of the measures for the early detection of the implementation of the medical care services and other supervisory inspection, and timely notification of supervision and inspection The company's main goal is to improve the quality of its products and services, and to improve the quality of its products and services, and to improve the quality of its products.
Social welfare institutions such as community elderly service stations, children's welfare institutions and service institutions for the disabled that temporarily accommodate and care for the elderly in all districts will refer to this work program.
Capital strictly into the Beijing management of joint prevention and control
Coordination Mechanism Office
Beijing new coronavirus infection epidemic prevention and control
Leading Group Office
January 6, 2023