In recent years, the public can learn from a number of new media reports that village health centers, as the first sentinel point of prevention and control, have frequently "failed".
How can village health centers do the "four early" to achieve the purpose of strong early warning? The author's personal experience, and we discuss.
First: understand the new crown pneumonia ten related symptoms
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Village health clinic in the reception of the patient, the most critical link is not to be paralyzed, the strict implementation of the "a look a check a test a question", that is, to see whether to wear a mask, temperature measurement, check the health code, the trip code, The company's website is a great source of information about the company's products and services, and it's a great source of information about its products and services.
Fever, as one of the typical symptoms of new coronary pneumonia, should be highly valued by patients visiting village health offices, and other symptoms such as dry cough, malaise, nasal congestion, loss of smell and taste, runny nose, sore throat, conjunctivitis, myalgia, and diarrhea, and asking about epidemiological history is an important gateway to prevention and control in village health offices.
Second: mastering how to closed-loop treatment of fever patients
The closed-loop treatment of fever patients is divided into two cases:
Fever patients who have been to the medium-high-risk areas within 14 days, patients are required to wear a good mask, waiting in the open and immediately reported to the township health center to contact 120 emergency vehicles for transfer;
No patients who have not been to the medium-high-risk areas in the 14 days, patients can not take a bus to the hospital, the hospital can not take a bus to the hospital. high-risk area patients, can not take public **** vehicles, to the clinic with the ability to receive fever patients for treatment.
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Third: the reception to do "three to two do not"
Village health clinics in the process of reception, it is difficult to avoid encountering the emergence of the new Crown Pneumonia ten related symptoms of the patient, do not simply a refusal to diagnose, tell the patient to do "three to two do not":
This is the first time in the world that the Government of the People's Republic of China (PRC) has not yet received any information from the Chinese government.
To take the initiative to register with the neighborhood committee and accept the management.
To go to the nearest fever clinic in time. Wear a mask throughout the journey to the clinic, avoid public **** transportation, try to keep a distance of more than 1 meter from other people, and maintain hand hygiene at all times.
Take the initiative to explain the situation to the doctor and cooperate with the consultation.
Don't take medication on your own to avoid delaying treatment.
Don't hide your condition and report it truthfully.
In addition, when there is a crowd gathering in the village health center, you should take the initiative to maintain the order of the consultation and strictly implement the distance interval of 1 meter line.
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Fourth: Prepare a variety of work records, ledgers
Village health clinics in the epidemic during the normalization of prevention and control, should be prepared for a variety of work records, ledgers and so on, including the two elimination of the three books, a record, to be retained for inspection.
Two elimination: i.e. physical surface disinfection records and ultraviolet disinfection records.
Three books: the pre-screening triage register, the fever patient register and the outpatient register.
A record of medical waste handover record.
Surface disinfection record book: 500mg / l of chlorine disinfectant, twice a day for disinfection, requires the ready to use.
Ultraviolet disinfection record book: disinfection with ultraviolet lamps, 2 times a day, 1 hour each time. UV lamps need to be replaced after 1000 hours of use.
Outpatient registration book: patients who visit the village health center are registered truthfully.
Pre-examination and triage register: The contents of the register are more or less the same as those of the outpatient register, but with the addition of three items, such as temperature record, visit to a medium-high-risk area in the last 14 days, and the top 10 symptoms associated with new crown pneumonia, which are filled out faithfully and item by item by the patients who visit the village health center.
Fever patient registration book: to the village health clinic to the fever patients, need to be reported to the township health center within one hour, in the registration of fever patient registration book at the same time, the same need to be registered in the outpatient registration book and pre-screening registration book.
Fifth: standardize the disposal of medical waste
Life waste, use black bags; medical waste, use yellow special bags with warning signs.
Medical waste generated by general patients is classified, collected and transferred in accordance with conventional medical waste, and temporary storage is sufficient.
The garbage cans for collecting medical waste should be covered with lids in time after use and placed in the contaminated area, and the contaminated and clean areas within the treatment room are clearly demarcated.
Medical waste should not be stored for more than 2 days, and when it reaches 3/4 of the package or container, a gooseneck closure should be used.
The closure of the packages or containers should be tight and tight, and if the packages or containers are contaminated they should be sterilized or an additional layer of packaging should be added.
How does the village health office configure the disinfectant?
Generally, the disinfectant often used for daily disinfection in village health rooms is chlorine disinfectant, or 84 disinfectant.
During the period of normalized prevention and control of the epidemic, village health rooms generally use the following methods of configuration of 84 disinfectant:
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Reminder
Primary health care institutions should do the following
1, standardize the pre-screening and triage. All into the clinic, village health clinic (community health service station) personnel should be implemented "mask must wear, temperature must be measured, health code must check, trip code must see, place code must scan"; triage desk (point) should be equipped with masks, thermometers, disinfection products, etc., and do a good job of real-name registration of the patient (registration ID number, contact information).
2, the strict implementation of the first diagnosis system. For patients with fever, dry cough, fatigue, loss of smell and taste, nasal congestion, runny nose, sore throat, conjunctivitis, myalgia, diarrhea, rash and other symptoms related to the top ten of the new coronary pneumonia should be highly valued and the implementation of closed-loop management, do a good job of epidemiological inquiries and registration of basic information on the patient and according to the provisions of the cascade of reports.
3, all clinics, village health clinics (community health service stations) should be posted in a conspicuous position "not to receive patients with fever" signs, the discovery of suspected cases of new coronary pneumonia are not unauthorized disposal, to register the relevant information in detail, according to the relevant procedures and timely reporting.
4, to strengthen the hospital infection prevention and control work, complete the necessary and sufficient amount of protective materials, the strict implementation of standard precautions, medical personnel in the practice of activities should be strictly implemented in the relevant technical specifications and standards of work, to prevent infectious disease pathogens, drug-resistant bacteria, conditionally pathogenic bacteria and other pathogenic microorganisms of the spread.
5. Strengthening the health monitoring of medical personnel (including janitorial staff), and conducting dynamic nucleic acid monitoring of medical personnel in clinics and village health offices (community health service stations) to ensure that the hand hygiene of medical personnel, the conditions of the diagnostic and treatment environments, the aseptic operation techniques and occupational hygiene protection work in accordance with national regulations.
6, strictly in accordance with the law, non-health professionals shall not carry out diagnostic and therapeutic activities, in strict accordance with the health administrative department approved the registration of diagnostic and therapeutic subjects to carry out diagnostic and therapeutic activities, and shall not carry out false medical propaganda. Strengthen business learning and training, strengthen emergency drills, improve the discovery of new cases of coronary artery disease and emergency response capacity.
7, do a good job of environmental ventilation and disinfection management of medical institutions and clinics, implement the "Disinfection Management Measures", the strict implementation of the technical specifications for the disinfection of medical devices and instruments, the establishment and implementation of disinfection products purchase inspection system, the correct use of disinfection products.
8, in strict accordance with the provisions of the "Regulations on the Management of Medical Waste", classification, collection and disposal of medical waste, medical waste storage time of no more than 2 days. Establish and improve the handover registration, and keep the registration for 3 years. Monitoring