The fever clinic should be located in an independent building in an independent area of a medical institution, with eye-catching signs and independent entrances and exits. Eye-catching signs should be set up at the entrance of the hospital, the outpatient hall and the relevant areas in the hospital area, including the orientation, walking route, consultation scope and matters needing attention of the fever clinic.
The hardware facilities of the fever clinic should meet the requirements of the prevention and treatment of respiratory infectious diseases, and strict hard isolation facilities should be set up between the general outpatient (emergency) clinic and other areas of the hospital. No channels are used, and the channels do not cross. People flow, logistics and airflow are strictly physically isolated. The distance between the external wall of the newly-built fever clinic and the surrounding buildings or public places is not less than 20m.
The air conditioning system of fever clinic should be set independently with fresh air system. When the air conditioning and ventilation system is an all-air system, the return air valve should be closed and operated in fresh air mode. Prohibited air conditioning systems: air conditioning systems with circulating return air, water-air air conditioning systems, air conditioning systems with heat insulation and humidification devices, and other air conditioning systems that can neither open windows nor have fresh air and exhaust systems.
If a central air conditioning system is installed, each zone should be set independently. Clean and disinfect the air conditioner 1 ~ 2 times a week, collect the condensed water of the air conditioner, and discharge it after disinfection. If a case is found, the air conditioner should be thoroughly disinfected in time after the case is transferred out.
The windows of all business rooms in the fever clinic should be openable to maintain indoor air circulation. The waiting area and consultation room should be well ventilated, and mechanical ventilation devices can be installed when necessary. In the case of poor ventilation, the direction of airflow can be organized by exhaust fans in different directions from clean area to buffer room and then to polluted area.
Management of fever clinic:
The fever clinic should be upgraded and managed by the vice president in charge of medical work. It is necessary to arrange experienced medical staff to undertake the pre-examination and triage, check the health code or health itinerary code, measure the body temperature, and ask all patients and their caregivers about the epidemiological history and symptoms.
Guide patients and their caregivers to sign a commitment letter about the authenticity of their epidemiological history, and divide patients into different consultation areas (or consultation rooms) in a reasonable and orderly manner. Medical staff in fever clinic should instruct patients and their accompanying personnel to wear medical protective masks, do a good job of hand hygiene, and keep a safe distance of 1 m when sanitary conditions permit.