The Circular puts forward requirements for related work in seven aspects:
One is to require medical institutions to improve the management of outpatient and emergency pre-screening and triage, strictly implement the relevant requirements, and do a good job in the triage of patients and risk management and control.
The second is to require local support for medical institutions to strengthen the construction and management of fever clinics, to ensure that the examination and treatment of febrile patients are completed in fever clinics, to prevent cross-infection.
Thirdly, it requires localities to strongly support medical institutions to strengthen the construction of information technology, carry out the appointment of medical treatment by time, reduce the crowd on-site gathering, and do a good job in the Internet diagnosis and treatment consulting.
Fourth, it is required to strengthen infection prevention and control and medical personnel protection, from the funds, personnel, materials and other aspects to increase investment in hospital infection prevention and control, the implementation of infection prevention and control of basic requirements.
Fifth, it is required to take measures to strengthen the construction of laboratories in medical institutions, land border crossings and other areas to prioritize support for the construction, improve testing capacity.
Sixth, localities and medical institutions are required to study the epidemic situation in advance according to their own characteristics, and develop response plans under different epidemic prevention and control pressures.
Sevenly, it requires localities to strengthen the supervision of the prevention, control and treatment of new coronary pneumonia in medical institutions to ensure the implementation of the requirements, while the State Council joint prevention and control mechanism will organize and carry out supervision and inspection in due course.
On the further consolidation of the results
Improve the ability of medical institutions to prevent, control and treat new coronary pneumonia
Joint Prevention and Control Mechanism General Issue [2020] No. 141
Provinces, autonomous regions, municipalities directly under the central government and the Xinjiang Production and Construction Corps to deal with the joint prevention and control mechanism of the epidemic of new coronary pneumonia:
Currently, China's prevention and control of the new coronary pneumonia epidemic In order to further consolidate the hard-won results of prevention and control, to achieve the goal of "external prevention of importation, internal prevention of rebound", in view of the gradual progress of the resumption of work and production, the increasing pressure of importation of the epidemic outside the country, the lifting of the control measures for the channels away from Han and Ezhou, as well as as the existence of a certain risk of transmission of asymptomatic infected people, we are hereby requesting the following on the further enhancement of prevention, control and treatment capacity of the new coronavirus pneumonia by the medical institutions. In the outpatient emergency clinic standardized set up pre-screening triage point, assigned with professional ability and experience of infectious diseases or related professional physicians, to enrich the pre-screening triage power. Patients should check their health codes, wear masks, and be asked whether they have fever, cough and other respiratory symptoms and signs, and whether they have close contact with patients with new coronary pneumonia, or whether they have traveled to areas with a high prevalence of the epidemic, and other epidemiological histories, and have their temperatures measured. Regularize the transfer of febrile patients and patients with high suspicion of new crown pneumonia to the fever clinic. Conditional areas, can be combined with the booking of treatment work, to carry out first online and then on-site two pre-screening triage.
Second, strengthen the fever clinic setup management
Everywhere to support medical institutions to strengthen the fever clinic construction. Fever clinic should be set up in the medical institutions in a relatively independent area, well ventilated, have a conspicuous logo, have an independent bathroom, channel and partition set up in accordance with the requirements, equipped with special equipment and facilities, to maximize the assurance that the examination and treatment in the fever clinic to complete. Fever clinics are regularly sterilized, and all personnel should wear disposable medical masks for protection. If the new coronavirus infection cannot be excluded by questioning and physical examination, nucleic acid test and other relevant examinations should be conducted to further exclude the new coronavirus infection. For patients with suspected or confirmed new coronavirus pneumonia, medical staff should register, report and isolate them in accordance with the relevant provisions, and transfer them to designated hospitals for further diagnosis or treatment in a timely manner, and should not allow patients to transfer themselves to or from hospitals without authorization.
Three, do a good job of time booking consultation and Internet consultation
Everywhere in the world to support medical institutions to strengthen the construction of information technology, to carry out the booking of registration, booking of examination and booking of treatment, the reasonable distribution of consultation time, the realization of the time booking consultation, to reduce the crowd on-site gatherings. The booking of diagnosis and treatment will be incorporated into the system construction of medical institutions, gradually expanding the scope of the booking, and ultimately realizing the goal of "booking first, then consulting" for all non-emergency patients. Promoting the sharing of information***, effectively identifying the "four categories of people" when booking online appointments, and taking targeted measures to reduce the risk of cross-infection. Make full use of the advantages of "Internet + medical", and actively provide online health assessment, health guidance, health education, consultation guidance, chronic disease follow-up, psychological guidance and other services, and do a good job of Internet diagnosis and treatment consulting.
Four, strengthen the infection prevention and control and medical personnel protection
Everywhere to increase the hospital infection prevention and control investment, from the funds, personnel, materials and other aspects of support to strengthen the guarantee. Medical institutions should strictly implement the "Office of the National Health Commission on further strengthening the infection prevention and control of medical institutions during the epidemic notice" and "new coronary pneumonia epidemic during the protection of medical personnel technical guidelines" requirements. All types of personnel entering medical institutions should properly select and wear masks, properly perform hand hygiene, and do a good job of managing environmental ventilation. When providing consultation and treatment services to patients with suspected and confirmed neocoronavirus pneumonia, they should take extra precautions on top of the standard precautions according to the level of operational risk. For those who do not pay attention to the work of sensory control and do not implement the basic requirements of sensory control, leading to the emergence of serious nosocomial infection events, the medical institutions and the relevant responsible persons should be dealt with in accordance with the provisions.
V. Improve the laboratory testing capacity of medical institutions
Local measures should be taken to strengthen the construction of laboratories in medical institutions, so that the three levels of general hospitals are equipped with clinical testing laboratories that meet the biosafety standards of the second level or higher. The relative lack of medical resources, laboratory testing capacity is relatively weak, epidemic prevention and control of greater pressure on the region, especially land border crossings, to prioritize support for the construction. Combined with the daily diagnosis and treatment needs, in accordance with the principle of "combining peace and war", select a county-level medical institutions with strong comprehensive strength to be focused on supporting the realization of the medical institutions within the county with nucleic acid testing capacity. Nucleic acid testing should be carried out in a timely manner for patients attending fever clinics and patients highly suspected of being infected with the new coronavirus in outpatient emergency clinics, so as to fulfill the requirement of testing. Medical institutions are encouraged to adopt appropriate methods to complete screening for new coronavirus nucleic acid testing before patients are admitted to hospitals according to the level of response to epidemic prevention and control in their regions, the level of risk, and the travel history of patients admitted to hospitals, so as to timely detect new coronavirus-infected patients. Each region conducts daily reporting of new coronavirus nucleic acid testing in healthcare facilities. Provinces to report the previous day's testing before 12:00 each day, the first report on April 13th.
Sixth, do a good job of response plan development and deduction
Medical institutions should be based on their own geographic environment, in the epidemic prevention and control of the functional positioning, to find the weak links, the development of different epidemic prevention and control of the pressure to respond to the plan. Each region should find out the medical resources within the jurisdiction, accurately grasp the number and distribution of medical institutions, treatment beds, instruments and equipment, professional and technical personnel, as well as laboratory testing capacity and protective materials that can be used for the medical treatment of the new coronary pneumonia. Taking into account the characteristics of the region's ports, borders, and movement of people, they study the situation of the epidemic in advance, and, assuming that epidemics and outbreaks occur in different regions, formulate response plans that include the deployment of personnel, counterpart support, material protection, technical support, and so on, and carry out rehearsals. The response plan formulated by each region includes at least one place alone or many places at the same time when the epidemic occurs, combined with the pressure of treatment when the number of cases reaches double-digit, triple-digit or even higher, to determine the conditions for county, city and province to start at each level and the response measures to ensure that in the event of an outbreak of the epidemic can be carried out quickly and effectively in accordance with the plan to provide medical treatment. Each region should report the response plan of the province to the State Council's joint prevention and control mechanism before April 20th.
Seven, strengthen guidance and supervision
Everywhere to strengthen the prevention and control of new coronary pneumonia and treatment of medical institutions supervision, to ensure that the implementation of the requirements of the implementation of the landing in the field. To rely on the new crown pneumonia medical treatment expert group, the relevant professional quality control center and other professional forces, before April 20 to carry out a special supervision and inspection, timely discovery of the epidemic prevention, control and treatment of medical institutions within the work of the weak links, to improve the work of the guidance, to promote the various medical institutions around the region to do a good job of responding to the epidemic preparedness. The State Council joint prevention and control mechanism will be organized in due course to carry out supervision and inspection, the specific time to be announced; will be combined with the report on the response to the plan, the organization of experts around the medical institutions of the new coronary pneumonia prevention and control and treatment work to carry out a comprehensive analysis and evaluation of the results of the evaluation of the notification of the whole country.
Please provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps to cope with the new crown pneumonia epidemic joint prevention and control mechanism will be the province response plan stamped with the official seal and sent to the State Council to cope with the new crown pneumonia epidemic joint prevention and control mechanism, and at the same time, send an electronic version of the designated mailbox.
Contact: Medical Treatment Group_010-68791976 Fax: 010-68792206
State Council Response to the New Coronavirus Pneumonia Epidemic
Joint Prevention and Control Mechanism of the State Council Comprehensive Group
April 10, 2020