Second, to further enhance the fever clinic admission capacity, with full allocation of fever clinic medical power, improve the treatment process and multidisciplinary treatment model of acute and critical fever patients, take dynamic increase in the clinic, observation room, set up isolation observation area, temporary isolation and placement, increase first aid facilities and equipment, and other measures to ensure that patients with fever normal medical treatment.
Three, medical institutions fever clinic or emergency department found positive infected, should immediately report to the local epidemic prevention and control headquarters, positive infected persons before the transfer of temporary admission to the observation room. The positive infected person found after the transfer out, must be immediately on the contaminated area of the final decontamination and environmental material surface sampling. Emergency shutdown for disposal shall not exceed 4 hours. During this period, if there are patients with acute and critical illnesses, they may be received and resuscitated first with the informed consent of the patients or their families, and shall not be refused or delayed in treatment. If the result of the environmental evaluation is positive, the patients and accompanying care received during the time period can be judged as close, and those who need to be hospitalized can be admitted to the transitional ward, and those who do not need to be hospitalized can be notified to the community of residence for isolation and observation. The patient's diagnosis and treatment shall not be affected by environmental disinfection.
Four, to further enhance the 120 emergency command center at all levels of integrated scheduling capabilities, the first aid station strictly obey the 120 emergency command and scheduling agencies unified dispatch, in accordance with the system of responsibility for the first aid and take into account the principle of "proximity, urgency," the patient will be transferred to a medical institution with the ability to save, shall not be any reason to shift the blame, delay or refuse the emergency patients. No reason to shirk, delay or refuse the emergency dispatch needs of patients with acute and critical illnesses, shall not be unauthorized for any reason to divert 120 emergency vehicles to perform non-120 emergency tasks. 120 emergency vehicles should be received by the closure of the control area after the patient and the corresponding medical institutions to communicate in advance.
Fifth, to further enhance the capacity of the emergency department admission, set up isolation treatment area, the establishment of emergency critical patients treatment green channel, the implementation of nucleic acid testing and medical treatment synchronization. To set up a green channel for the elderly, pregnant women, children, consultation, waiting to provide humanized services, winter or summer to increase heating or cooling equipment. For the need for emergency treatment of acute and critical illnesses, maternity and other special patients, medical institutions are strictly prohibited to health code abnormalities, no negative results of nucleic acid test or antigen-positive epidemic prevention and control requirements on the grounds of refusal to accept, shirking, delay in the diagnosis and treatment of infants and young children under the age of 3 years, and other special groups of people to enter the health care institutions can be exempted from the examination of the nucleic acid test negative certificate. Medical personnel on-site judgment for patients with acute and critical illnesses, all first treatment after screening, life-threatening, immediately implement rescue. Medical personnel in good protection on the basis of emergency treatment, emergency treatment of patients caused by occupational exposure, not to pursue the responsibility of the relevant medical personnel.
Sixth, the medical institutions to coordinate the deployment of medical resources, to take measures to set up a transitional ward to solve the problem of temporary placement of patients with negative test without nucleic acid. May not be tense business premises on the grounds of not setting up or false transitional ward, while fully equipped with relevant rescue equipment, arrange full-time medical personnel to do a good job in the protection of the basis of management. It is strictly prohibited to refuse to accept patients with acute and critical illnesses on the grounds that there is no transitional ward.
VII, all levels of medical institutions obstetrics, neonatology, hemodialysis, operating room, intensive care unit and other departments shall not be refused for any reason and shut down. Medical institutions due to the occurrence of an epidemic need to be overall control or suspension, shall be agreed by the city or county epidemic prevention and control headquarters, in principle, no more than 2 days. During the period of closure and control of the hospital should be activated in the spare area to provide appropriate medical services. Due to the epidemic-related temporary control, resulting in hemodialysis, maternal patients can not be normal medical treatment, we must promptly inform the patients in the continuity of treatment in this medical institution, and take the initiative to coordinate and solve the subsequent treatment of patients. It is strictly prohibited to suspend medical treatment for a long time for any reason.
Eight, Kaifeng Longhai Hospital for the city's main urban area of the "yellow code hospital",
In principle, the main urban area of the sealing and control area, temporary control area, isolation points and home isolation medical observation personnel general disease patients and hemodialysis treatment patients to the city Longhai Hospital
; at the same time to play the The city's medical institutions to take advantage of specialized treatment capacity,
Demonstration area acute cardiovascular and cerebrovascular, serious trauma, tumor radiotherapy and other acute and critical illnesses and special patients
to
City Center Hospital
Districts of Gulou, Longting, Shunhe and Yuwangtai District of the above acute and critical illnesses and special patients
To
Henan University Huaihe Hospital Hospital
Pregnant women, pregnancy checkups and other personnel in the main urban areas
go to
Municipal Maternity Hospital
Pediatric patients with acute and critical illnesses and special children in the main urban areas
go to
Municipal Children's Hospital
. Other medical institutions for patients in need of emergency treatment, shall not be any reason to refuse to accept, shirking, delayed treatment.
Nine, the counties and districts of community health centers and township health centers should open a hotline to provide 24-hour health advisory services for diabetes, hypertension, cardiovascular and cerebrovascular diseases and other common diseases, chronic diseases, patients with routine diagnosis and treatment. Medical services such as removing drains, leaving or removing stomach tubes and urinary catheters, changing medicines, removing stitches and preventive vaccinations should be provided. Medications for patients with chronic diseases should be appropriately extended prescription dosage, and medications for people in high-risk areas and patients with chronic diseases under home isolation and medical observation should be delivered to their homes as much as possible. To the jurisdiction of the elderly living alone, infants and young children, disabled persons and other special groups to take the initiative to carry out health rounds service.
Ten, to strengthen the medical ethics of medical personnel, medical personnel in the epidemic prevention and control period to continue to enhance the quality of professional ethics, to improve their own medical diagnosis and treatment level and skills, to strengthen the doctor-patient communication, to enhance the quality of medical services.