I. Applicable objects
Asymptomatic or mildly symptomatic infected patients who have not been combined with serious underlying diseases.
The infected patients whose underlying diseases are stable and who do not have serious heart, liver, lung, kidney, brain or other important organ insufficiency that requires hospitalization.
Second, the home environment requirements
In the case of conditions allow, home treatment personnel as far as possible in the family to live in a relatively independent room, the use of a separate bathroom.
Families should be equipped with thermometers, tissues, masks, disposable gloves, disinfectants and other personal protective equipment and disinfection products and garbage cans with lids.
Third, management requirements
Community and primary health care institutions work requirements.
1. Establish contact. Play an important role in the organization, mobilization, guidance, service, protection and management of the community work mechanism of epidemic prevention and control around the world. Primary health care institutions to publicize the consultation telephone number, inform the home treatment precautions, and home treatment personnel into the grid management. For empty nests living alone in the elderly, patients with basic diseases, pregnant women, hemodialysis patients and other home treatment of special personnel to establish accounts, to do the necessary medical services to ensure.
2. Giving guidance. Home treatment personnel according to the instructions standardized antigen detection, if necessary, can ask primary health care institutions to give guidance. Primary health care organizations can give guidance on symptomatic treatment and oral medication to those in need.
3. Assistance in seeking medical treatment. Community or primary health care institutions received home treatment personnel to assist in arranging out of the demand for medical care, to timely understand their main condition, the primary health care institutions to guide the emergency treatment of patients with acute and critical illnesses, and to assist in the closure of the loop as soon as possible transfer to the relevant hospitals for treatment. To county as a unit, the establishment of higher hospitals and urban and rural communities of rapid transit channels.
4. Psychological assistance. To establish a smooth psychological counseling hotline by prefecture and city. Primary health care institutions and communities should take the initiative to inform the psychological hotline to home treatment personnel, to facilitate their seeking psychological support, psychological counseling help. For those found to have more serious psychological or mental health problems, they can be reported to local mental health medical institutions and referred to them when necessary.
5. Personal protection. When in contact with home treatment staff, you should protect yourself and keep a distance of more than 1 meter as far as possible.
Requirements for self-management of home treatment personnel.
1. Health monitoring and symptomatic treatment. Home treatment personnel should take temperature and self-monitoring once a day in the morning and once in the evening, and if symptoms such as fever and cough occur, symptomatic treatment or oral medication can be administered. If necessary, they can also contact the medical staff of primary health care institutions or consult the relevant health care institutions through Internet health care. Asymptomatic persons do not need medication. When taking medication for home treatment, the person must follow the instructions of the medication to avoid blind use of antimicrobial drugs. In case of underlying diseases, there is no need to change the dosage of drugs being used for treatment of underlying diseases when the condition is stabilized.
2. Referral for treatment. If the following conditions occur, you can be referred to the relevant hospital for treatment by self-driving car or 120 ambulance.
Difficulty in breathing or shortness of breath.
Temperature continues to be higher than 38.5℃ for more than 3 days after medication.
Pre-existing underlying disease is significantly aggravated and cannot be controlled.
Children with lethargy, persistent refusal to eat, feeding difficulties, persistent diarrhea or vomiting.
Pregnant women experience headache, dizziness, panic, breath-holding, or abdominal pain, vaginal bleeding or fluid, or abnormal fetal movement.
3. Control going out. The home treatment personnel do not go out or receive visits unless necessary. For those who really need to go out for medical treatment, they should take good personal protection throughout the whole process, arrive at the medical institution point to point, and then return home point to point after medical treatment, and refrain from taking public **** transportation as far as possible.
4. Personal protection. Home treatment personnel should be well protected, as far as possible not to contact with other family members. If the home treatment worker is a breastfeeding mother, you can continue to breastfeed your baby on the basis of good personal protection.
5. Antigen self-testing. The home health care worker should conduct antigen self-testing and report the results according to the relevant epidemic prevention requirements.
6. Infection prevention and control requirements.
Open windows and doors regularly every day to maintain indoor air circulation, do not have natural ventilation conditions, available exhaust fans and other mechanical ventilation.
Do a good job of ventilation and disinfection of toilets, bathrooms and other *** enjoyment areas.
Hands should be washed or sanitized when preparing food, before and after meals, and when taking off and putting on masks.
Cover your mouth and nose with a tissue or cover your mouth and nose with the inside of your elbow when coughing or sneezing, and dispose of used tissues in the trash.
Don't use household items with other members of the family***, and wash and sterilize utensils after use.
The surfaces of objects that may be touched by home healthcare workers on a daily basis, as well as the towels, clothes and covers they use, should be cleaned and disinfected in a timely manner, and the personal belongings of the infected person should be placed separately.
If the family **** bathroom, home treatment personnel should be disinfected after each use of the bathroom; if the home treatment personnel use a separate bathroom, can be disinfected once a day.
Used tissues, masks, disposable gloves, and other household garbage are put into plastic bags and placed in special garbage cans.
Items contaminated by saliva, sputum, etc. can be disinfected at any time.
Four, the end of home treatment conditions
If the home treatment of the person's symptoms significantly improved or no obvious symptoms, self-test antigen negative and two consecutive new coronavirus nucleic acid test Ct value of ≥ 35, you can end the home treatment, resume normal life and go out.
V. Requirements for protection
The lead unit in charge of community work in the leadership mechanism for epidemic prevention and control in each region should give full play to its role and effectively take charge. Primary health care institutions to establish a 24-hour duty system, designated specialists to undertake home treatment of infected people health advice. Community arrangements to do a good job of nucleic acid testing, garbage removal, environmental disinfection and other work, and timely detection and resolution of problems.
Medical institutions should be organized to provide rehabilitation guidance support and psychological support for people at home through a combination of online + offline methods such as remote guidance and Internet medical care. Primary medical and health care institutions should strengthen inspection guidance and health monitoring for people recovering at home under their jurisdiction through the Internet and other means, and second- and third-tier hospitals should provide consultation guidance for primary medical institutions through remote medical care.
All localities should strengthen the stockpiles of commonly used medicines, antigen detection reagents, finger-clip oximeters, etc. in primary healthcare organizations to effectively meet the needs of home-based therapists for medication and health monitoring.
Medical institutions should strictly implement the system of responsibility for the first diagnosis and emergency rescue system, and should not use any reason to shirk or refuse home treatment of the new coronavirus infected people, especially patients with acute and critical illnesses to medical institutions.
Attachment: 1. Reference table of commonly used medicines for home treatment of new coronavirus-infected patients
2. Guidelines for antigen detection for home treatment of new coronavirus-infected patients
Attachment 1: Reference table of commonly used medicines for home treatment of new coronavirus-infected patients
Attachment 2: Guidelines for antigen detection for home treatment of new coronavirus-infected patients
Access to testing reagents
1.
1. Home treatment personnel can purchase antigen detection reagents through drug network sales e-commerce, etc., and can also purchase antigen detection reagents through the assistance of their community or the primary healthcare organizations under their jurisdiction.
2. Communities and primary healthcare organizations should facilitate access to antigen detection reagents for home-based treatment personnel in their jurisdiction, especially the elderly, who are in need.
Testing and interpretation of results
1. Home healthcare workers can perform testing and interpretation of results on their own according to the instructions and procedures, or they can contact the contracted medical staff of primary healthcare organizations to complete the testing and interpretation of results under the remote guidance of the contracted medical staff of primary healthcare organizations.
2. Nursing home staff should conduct antigen testing and interpretation of results for the elderly in nursing homes according to the requirements and procedures of the manual when necessary.