How to arrange the best work for the new crown pneumonia patients with severe illnesses

Specific implementation measures

(a) mapping

Rapidly mapping the number of patients with chronic diseases, hemodialysis patients, psychiatric patients and other key populations within the jurisdiction and register, the implementation of classification and management, the requirement of accurate to the household, so that the demand for medical services can be identified at the first time.

(2) Health education and publicity

Improve the vaccination rate, the patient to and from home and treatment on the way to take strict precautions, reasonable standardization of the use of protective items, strict compliance with the "two points, one line", avoid unnecessary outings, gatherings, away from the closed public **** place. To and from the hospital as far as possible to avoid taking public **** transportation, if you have to take, should be strictly good personal protection, the whole standard wear qualified masks, to maintain a safe social distance. During the epidemic, patients are more important to strengthen the nutritional intake, reasonable exercise, enhance their own resistance, in the diet structure to high-quality protein diet.

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(C) to strengthen the management of key populations

coordinated arrangements for the entire hospital medical staff, according to the sealing control control area area area, the number of key populations and other actual conditions, focusing on health counseling, diagnosis and treatment of common and chronic diseases, for the treatment of the effect of the poor, diagnosis and treatment of insufficient conditions, the condition of the disease does not get better or deterioration of the condition, should be transferred to the higher level of hospitals for further diagnosis and treatment in a timely manner, by the For those who are assessed by the hospitals to be in need of medical treatment outside the hospitals, they should be transferred to the designated hospitals in accordance with the relevant regulations. When a positive case of new coronary pneumonia is found, the patient will be rapidly transferred to the designated hospital for new coronary pneumonia in a closed loop, and do a good job of final disinfection.

(D) strengthen the transfer scheduling

Ambulance 24-hour emergency duty, designated special ambulance point-to-point pick-up and drop-off of patients in the sealing and control area, resolutely open the "last meter" to see a doctor. The establishment of ambulance closed-loop management mechanism, the arrangement of specialized personnel involved in the transfer of personnel, vehicle fixed, during the work of the arrangement of a single person living in a single room (with an independent bathroom), not mixed, do not communicate with each other to visit, to avoid canteens, to avoid going out to shop, dining and other behaviors. All the personnel involved in the transshipment travel in accordance with the two points and one line between the place of residence and the hospital. Strictly in accordance with the relevant national requirements for the transfer of vehicles, medical equipment and other final sterilization.

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(E) Implementation of categorized treatment

1, fever patients, fever outpatient clinic patients regardless of whether there is a nucleic acid test report, must be tested for nucleic acid test, the test results before the feedback of all stay in the hospital. Strict closed-loop management of febrile patients.

2, acute and critical patients, hospitalization beds and critical care beds to prepare, increase the resources for treatment. To set up the necessary emergency rescue room, buffer wards, smooth green channel, the implementation of the first diagnosis responsibility system, can not rule out the new coronary artery pneumonia in the acute and critical patients, health care workers should be well protected the first time to save the treatment, shall not be any reason to shirk, refuse to diagnose the patient. Nucleic acid test should be carried out at the same time of active rescue, and those who need to stay in the hospital for treatment after rescue should be isolated and treated in the transitional ward first, and then transferred to the general ward after excluding the new coronary pneumonia. Do a good job of connecting and transferring patients with acute and critical illnesses to shorten the pre-hospital emergency time.

3, chronic disease patients, depending on the condition of their prescription dosage will be extended to 12 weeks, through telephone, micro-letter follow-up visits to strengthen remote guidance, to strengthen the daily management of chronic disease patients, to meet the daily use of medication, treatment and medical consulting services. Streamlining the consultation process for patients with chronic diseases to ensure the sustainability of treatment.

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4, need to be vaccinated with rabies vaccine, tetanus vaccine and other emergency vaccinations for the population of medical staff to do a good job of personal protection to carry out emergency vaccination services.

(F) strengthen the closed-loop management

When the medical institutions appear new crown pneumonia infection cases, the occurrence of nosocomial outbreaks or other situations that require closed-loop management, the division and management of high and low risk levels in the hospital, coordinating the scientific deployment of human resources and rational arrangements, strengthen the health management and monitoring of staff in the hospital to improve the health care services and logistical management processes, scientific, rapid and smooth, Response and disposal in a scientific, rapid, smooth and orderly manner