Including special groups of close contacts, close contacts and immigrants after the release of centralized isolation, spillovers from high-risk areas, and others who cannot be subjected to centralized isolation for medical observation as assessed by professionals.
Second, the place requirements
Home isolation medical observation of the best people living alone; if the conditions do not allow, choose a set of houses in the better ventilated room as the isolation room, to maintain relative independence.
Place tables and stools outside the relatively independent isolation room, as a non-contact transfer of goods at the handover.
When the room is ventilated using an air-conditioning system, a split air-conditioner should be selected. If a centralized air-conditioner is used, ensure that the air-conditioner is operating properly, increase the amount of fresh air, and turn off the return air for the all-air system.
Conditions permitting, try to use a separate bathroom, avoid using the bathroom with other family members ****.
The room should be equipped with thermometers, tissues, masks, disposable gloves, disinfectants and other personal protective equipment and disinfection products and garbage cans with lids.
Three, management requirements
Community service requirements.
1. Registration. Streets, community staff should contact the home isolation medical observation personnel in a timely manner, to grasp the home isolation medical observation personnel information, to see whether the place of residence to meet the conditions of home isolation medical observation, home isolation medical observation issued a letter of notification, informed of the relevant requirements of home isolation medical observation, and in accordance with the "one household, one file" or "one person, one file". In accordance with the requirements of "one household, one file" or "one person, one file", a register is kept and incorporated into the community grid management. Empty-nested elderly people living alone, patients with basic diseases, pregnant women, hemodialysis patients and other home isolation medical observation of special people, the establishment of accounts, and do a good job of the necessary life protection and care services.
2. Monitoring information collection. Streets, communities can establish WeChat group, small programs, etc., twice a day in the morning and evening to regularly ask and collect home isolation medical observation personnel temperature, symptoms and other information, such as fever, dry cough, fatigue, sore throat, loss of smell, diarrhea and other symptoms of the person found, immediately report, and by the person to contact the 120 negative pressure emergency ambulance, in accordance with the principle of proximity to the principle of fever outpatient clinic or designated medical institutions for medical treatment.
3. Nucleic acid test. Nucleic acid test during home isolation medical observation by the community organization sampling personnel home collection, and timely push nucleic acid test results.
4. Environmental cleaning and garbage disposal. Every day, the home isolation medical observation personnel living floor aisles, stairs and other places for disinfection, at least once to clean up the garbage, if necessary, timely cleaning.
5. Psychological assistance and social work service requirements. Inform home isolation medical observers of the psychological assistance hotline telephone number, provide psychological support, psychological counseling and other services to alleviate the negative emotions of the isolation of the personnel, prevention and alleviation of psychological distress caused by the epidemic, to prevent extreme events triggered by psychological stress. When mental health problems are found to arise among persons under medical observation in home isolation, timely referrals are made to the corresponding mental health medical institutions.
6. Regular spot checks. The community should regularly conduct random checks on people under home isolation medical observation in the district to find out whether they are under home isolation medical observation according to the requirements, whether they have left their place of residence, whether they have participated in congregate activities, and whether they have completed the nucleic acid test and other activities on time.
7. Staff protection. Community medical observation managers in contact with home isolation medical observation, handling their pollutants and contaminated surfaces, should do a good job of self-protection, wearing disposable work caps, medical surgical masks, coveralls, disposable gloves, and maintain a distance of more than 1 meter from them. When transferring positive infected persons, handling infected persons' pollutants and contaminated surfaces, or when working in close proximity to isolated persons, N95/KN95 particulate protection masks should be worn.
Requirements for self-management of medical observers in home isolation.
1. Health monitoring. Home isolation medical observers should be early in the morning and late in the evening for temperature measurement and self-health monitoring, and will monitor the results of the initiative to report to the community medical observation management personnel. During the period of medical observation, if symptoms such as fever, dry cough, fatigue, sore throat, decreased sense of smell, diarrhea, etc. occur, the community management personnel shall promptly report to the local health administrative department and the jurisdiction of the CDC agency.
2. Prohibit going out. Home isolation during the endowment code management, home isolation personnel strictly do not go out, refuse all visits. For those who need to go out because of medical treatment, they can only go out after the approval of the community medical observation management personnel, arranging for a special person and a special car to do a good job of personal protection, and implementing closed-loop management.
3. Personal protection. Non-individual residents, their daily life, meals as far as possible to limit the isolation room, other people do not enter the isolation room. Activities in the isolation room may not wear a mask, when leaving the isolation room to wear a mask. Minimize contact with other family members, keep a distance of more than 1 meter when contact is necessary, and standardize the wearing of medical surgical masks. If the home isolation medical observation for breastfeeding mothers, on the basis of good personal protection can continue to breastfeed their babies.
4. Nucleic acid test and antigen self-test. Home isolation medical observation personnel need to cooperate with staff to complete nucleic acid testing, antigen self-testing and reporting the results according to the relevant prevention and control requirements.
5. Hygiene and epidemic prevention requirements.
Keep your home ventilated, try to open windows and doors every day to ventilate your home, and if you can't ventilate your home naturally, use exhaust fans and other mechanical ventilation.
Do a good job of ventilating and disinfecting the toilet, bathroom and other **** enjoyment areas.
Washing hands or disinfecting hands should be done when preparing food, before and after meals, and when taking off and putting on masks. When wiping hands, it is best to use disposable hand towels.
Pay attention to coughing etiquette, cover your mouth and nose with a tissue or use the inside of your elbow to cover your mouth and nose when coughing or sneezing, dispose of used tissues in the garbage, and wash your hands or sanitize your hands immediately if they come into contact with respiratory secretions.
Not with other members of the family **** with household goods, tableware should be cleaned and disinfected after use. Tableware preferred boiling disinfection for 15 minutes, can also be used with effective chlorine 250mg / L ~ 500mg / L chlorine disinfectant solution soaked for 15 minutes and then washed with water.
Countertops, doorknobs, telephones, switches, kettles, wash basins, toilets and other surfaces that may be in contact with the daily use of the items, wipe with chlorine disinfectant containing 250mg/L ~ 500mg / L of effective chlorine, and then wash with water, at least once a day. Wet mop the floor every day with a chlorine disinfectant containing 250mg/L to 500mg/L of effective chlorine.
When the towels, clothes and covers of home isolation medical observers need to be cleaned, they should be placed separately and soaked in chlorine disinfectant containing effective chlorine 250mg/L～500mg/L for 30 minutes, or boiled for 15 minutes to disinfect them and then rinsed with clean water.
If the family **** with a bathroom, home isolation medical observers should be disinfected once after each use of the toilet; if the home isolation medical observers use a separate bathroom, the toilet can be disinfected once a day. Toilet and the surrounding area can be used to contain effective chlorine 2000mg / L chlorine disinfectant wipe disinfection, the role of 30 minutes. Toilet door handles, faucets and other parts of the hands often touch, can be used to contain effective chlorine 500mg / L of chlorine disinfectant or other disinfectants can be used for surface disinfection wipe disinfection, the role of 30 minutes after the water wipe clean.
Used paper towels, masks, disposable gloves and other household garbage into a plastic bag, placed in a special trash can, cleaned up every day, cleaned up before the chlorine disinfectant containing effective chlorine 500mg / L ~ 1000mg / L or 75% alcohol spray disinfection until completely wet, and then tied up the plastic pockets, and then disposed of with the rest of the garbage at home.
Saliva, sputum and other contaminated items at any time to disinfect, disinfection, disinfection with chlorine containing 500mg / L ~ 1000mg / L chlorine disinfectant, 75% alcohol or other disinfectant can be used for surface disinfection disinfection wipe disinfection, the role of 30 minutes after the water wipe clean. A large number of pollutants, should use disposable absorbent material completely covered with a sufficient amount of effective chlorine 5000mg / L ~ 10,000mg / L of chlorine-containing disinfectant poured on the absorbent material to disinfect, the role of more than 30 minutes, carefully remove clean. Then wipe the contaminated surface and its surrounding area for 2 square meters with a chlorine disinfectant containing 500mg/L to 1000mg/L of effective chlorine. Handling of contaminants should wear gloves and masks, after treatment should be bathed, change clothes.
6. Home isolation under medical observation. After the expiration of the home isolation medical observation period, the nucleic acid test result is negative, and there is no abnormal symptom, the community verifies and receives the notification form of the release of home isolation medical observation, and can be released from the home isolation medical observation.
***The same resident or companion requests.
1. When the accompanying person is in contact with the person under home isolation medical observation and handles his/her pollutants and the surface of contaminated objects, he/she should protect himself/herself, wear disposable work cap, medical surgical mask, work clothes, disposable gloves, and keep a distance of more than 1 meter from him/her.
2. Any direct contact with the home isolation medical observers, or after leaving their living space, prepare food, before and after meals, before wearing gloves, after removing gloves should be cleaned and disinfected hands.
3. Persons with underlying diseases and the elderly cannot be used as companions for home-isolated persons such as children, pregnant women, semi-autonomous and incapable of self-care.
4.*** with the resident or companion together to comply with the home isolation medical observation management requirements.
Transfer of persons after centralized isolation.
Community timely receive need home isolation personnel related information, such as name, gender, age, current address, contact phone number, ID card number, health status, etc. for registration, point to point closed-loop transfer to home isolation place. Appropriate transfer vehicles and personnel should be guaranteed, and relevant training should be done. During the transfer to do the appropriate protective measures.
Four, guarantee requirements
Organization guarantee. Home isolation medical observers in the community to designate a person to undertake community medical observation management, sampling services, clear responsibilities, the implementation of a 24-hour duty system, timely detection of problems, timely resolution of problems.
Life material security. The establishment of a list of needs during home isolation, clear living materials supply of specialized forces, optimize terminal distribution, through the distribution of the "last meter".
Protective materials security. The community should reserve enough protective materials, disinfection facilities and medicines.
Medical service guarantee. The community and the pharmacy, medical institutions and other direct hotline, good service connection, to meet the residents of medicine, medical needs. Implementation of the system of responsibility for the first diagnosis and rescue system for acute and critical illnesses, and not to use any reason to shirk responsibility and refuse medical treatment.