(a) institutional prevention and control "ten must"
1. must be "new coronavirus pneumonia epidemic" prevention and control work as a primary health care institutions as a matter of great importance, to enhance vigilance, strengthen the sense of prevention, performance of duties The government has been working on this issue for a long time, but it has not been able to do anything about it.
2. They must carry out all the work designated for the prevention and control of the epidemic in urban and rural communities under the guidance of professional health institutions such as disease prevention and control, according to the relevant requirements of the local party committees, governments, and administrative departments of health and health.
3. We must adhere to the "external prevention of importation, internal prevention of proliferation, strict control" strategy awareness not to relax, in conjunction with urban and rural community organizations to implement the "four early" measures, the implementation of grid, carpet management.
4. We must strengthen the outpatient pre-test triage screening, ordinary fever patients, good patient information registration, timely guidance, referral to the fever clinic; suspected fever patients, according to the provisions of the information registration, reporting and other related dispositions, to assist in the transfer of patients to the fever clinic.
5. Must first immediately report by phone. Found suspected fever patients, suspected cases (or confirmed cases) immediately reported by phone to the local health administration (or disease prevention and control agencies), and in accordance with the Class A infectious disease reporting process to fulfill the relevant procedures.
6. Must cooperate in the epidemiological investigation of confirmed cases, suspected cases and asymptomatic infected persons as well as the determination of close contacts according to the requirements of the relevant departments and organizations.
7. Must be in accordance with the requirements of the higher management department or the relevant medical institutions, in accordance with the provisions of the new crown pneumonia cured patients discharged from the hospital health management.
8. Must be required by the government or higher management or the requirements of the relevant medical institutions, in accordance with the relevant provisions and operating standards, do a good job in the community close contacts, centralized isolation of the object of medical observation, to do a good job in the health management of key populations.
9. Must be to the jurisdiction of the residents of the science of disease publicity and education, guidance to the jurisdiction of the residents and business units to recognize, prevent disease, improve self-prevention awareness and personal protection capabilities.
10. It must coordinate the prevention and control of epidemics and daily treatment, chronic disease management, health guidance, etc., to ensure that urban and rural residents in a timely manner, close to, and sustained access to basic health services.
(2) organization management "ten from strict"
1. Strict implementation of the relevant work norms. The primary health care institutions should be in accordance with the national and provincial health care commission related to the prevention and control of new coronavirus pneumonia epidemic related technical specifications and requirements, to do a good job in the discovery of patients with fever, registration, reporting of relevant information and referral, etc., and shall not be retained to diagnose patients with fever.
2. Strictly ask febrile patients about their travel history, suspected contact history or exposure history within 14 days, and keep records.
3. Strictly carry out full training. Every medical and health care technician in each primary health care institution should be proficient in the basic knowledge of new coronavirus pneumonia, outbreak reporting procedures, referral requirements, and protective measures.
4. Strict management of staff in primary care organizations. Staff must enter the institution for temperature testing; go out to record the route of travel, reduce access to public **** places and take public **** transportation; strictly wear masks; wash their hands diligently; regular replacement of cleaned and disinfected uniforms; fever, malaise, dry cough and other symptoms, to take the initiative to declare, and immediately stop working.
5. Strict patient consultation work management. Patients should be strictly temperature detection during consultation, requiring the wearing of masks; waiting for consultation, examination and payment of fees during the queuing interval of more than one meter; at most one accompanying person, the end of the consultation as soon as possible to leave.
6. Strictly do a good job of cleaning and disinfection management. In accordance with the "hospital air purification management specification", strengthen the ventilation of the diagnosis and treatment environment, and air disinfection can be carried out if there are conditions. Strictly implement the "disinfection of medical institutions technical specifications", and do a good job of cleaning and disinfection of the diagnostic and treatment environment, medical equipment, patient supplies and so on.
7. Strict medical waste management. According to the "Medical Waste Management Regulations", "medical waste management in health care institutions," the relevant provisions of the standardized disposal of medical waste. Suspected fever patients, suspected patients generated medical waste, into the infectious medical waste management.
8. Strictly and reasonably set up isolation areas (emergency isolation ward), to meet the needs of suspected fever patients, suspected cases of emergency temporary isolation and treatment on the spot.
9. Strictly medical personnel protection, the implementation of the relevant security. To do a good job of epidemic protection materials reserves, strict implementation of standard protection, strengthen contact transmission, droplet transmission and airborne infection prevention and control.
10. Strict responsibility and accountability. Primary health care institutions epidemic prevention and control of all aspects of the responsibility to a person, the records should be timely, accurate and true. The task is not implemented, there is negligent behavior or major faults in accordance with the law to pursue responsibility.
(C) institutional personnel "ten clear"
1. Clear personal functions, responsibilities, tasks in the epidemic prevention and control, to achieve clear duties.
2. Clear definition of suspected patients, confirmed cases, asymptomatic infected persons, clinical manifestations, clear definition of close contacts and determination of the principle, to achieve clear expertise.
3. Clear how to screen patients with fever and suspected symptoms and deal with them according to the regulations, so as to achieve clear standards.
4. How to inquire about the travel and medical history of febrile patients, and how to do so.
5. Be clear about the reporting process of the new coronary pneumonia outbreak, and make the program clear.
6. The number of close contacts, suspected patients, confirmed cases, asymptomatic infected, cured and discharged from hospitals and other key personnel in the jurisdiction, to achieve the bottom line.
7. Clear jurisdiction of close contacts, suspected patients, confirmed cases, asymptomatic infected persons, cured cases and other key personnel name, occupation, address, contact information, etc., so that the natural situation is clear.
8. Clear jurisdiction of close contacts, suspected patients, confirmed cases, asymptomatic infected persons, cured cases and other key personnel health, to achieve the state of clear.
9. Clear jurisdiction of close contacts, suspected patients, confirmed cases, asymptomatic infected persons, cured cases and other key personnel should be taken to prevent and control methods to achieve measures clear.
10. Clear protective measures at all levels, and wear protective gear according to the norms, not overprotection, to achieve protection clear.
Legal basis:
"Chinese People's **** and the State Law on Prevention and Control of Infectious Diseases"
Article 42 Infectious disease outbreaks and epidemics, local people's governments at or above the county level shall immediately organize forces to prevent and control the disease in accordance with the prevention and control plan to cut off the transmission of infectious diseases, and, if necessary, reported to the people's government at the next higher level for a decision to be made, the following emergency measures can be taken and To be announced: (a) limit or stop the fair, theater performances or other crowd gathering activities; (b) stop work, business, classes; (c) closed or sealed by the infectious disease pathogens contaminated by the public *** drinking water sources, food and related items; (d) control or culling of infected wild animals, livestock and poultry; (e) closed the places that may cause the spread of infectious diseases.
Article 45 In the event of an outbreak or epidemic of an infectious disease, the State Council has the right, according to the needs of infectious disease outbreak control, the State Council has the right, on a national scale or across provinces, autonomous regions and municipalities directly under the Central Government, local people's governments at or above the county level have the right to urgently mobilize personnel or call for reserve materials, and to temporarily requisition houses, means of transport, and related facilities and equipment in the administrative area.