Guangxi Zhuang Autonomous Region
New Coronavirus Infection Pneumonia Epidemic
Preventing and Controlling Leading Group Command
On Further Strengthening
On Further Strengthening of the
Notice on Prevention and Control of Epidemic in Medical and Healthcare Institutions
Cities and counties of the leading group command of prevention and control of the new coronary pneumonia epidemic, and various types of medical and healthcare institutions at all levels:
For the purpose of effectively strengthening the prevention and control of infections in medical and healthcare institutions, and effectively reducing the risk of spreading the infection within the healthcare institutions, the Further strengthen the health care institutions epidemic prevention and control work, the implementation of health care institutions epidemic prevention and control "ten strict" notice as follows:
A strict responsibility for the implementation. Various types of medical and health institutions at all levels of the main person in charge of the agency's epidemic prevention and control of the first responsible person, in strict accordance with the requirements of the state and autonomous regions of the prevention and control measures, seriously organize and do a good job in the epidemic treatment, infection control, protective supplies deployment, medical management, etc., to ensure that the prevention and control work is scientific, orderly and efficient.
Two, strict management of key risk areas. The new coronary pneumonia designated medical institutions to strengthen management, fully implement the isolation requirements, strengthen control, strictly control the entry and exit of personnel. The medical and health institutions should do a good job of medical equipment, contaminated items, ground, air and other disinfection and epidemic prevention. Strictly control the visitation of personnel to avoid disorderly flow of patients and prevent cross-infection. Conscientiously implement the national medical waste management regulations, the new crown pneumonia confirmed cases or suspected cases of medical waste generated by the management of infectious medical waste, the implementation of classification and collection, strictly regulate the transportation, storage and disposal. Laboratory testing and other related experimental activities operation must be strictly in accordance with the relevant provisions of the implementation of the virus and related potentially infectious substances under strict control, to avoid and eliminate man-made causes of the new crown virus from the laboratory leakage.
Three, strict consultation management. Various types of medical and health institutions at all levels should further improve the treatment capacity, in accordance with the principle of "should be received, should be treated", to strengthen the classification of treatment. Improve the workflow, rationalize the planning and layout, strengthen the guidance of the medical staff in medical places, and avoid the gathering of people. Strictly implement the pre-screening and triage system, conduct temperature tests for all the people coming to the hospitals, ask for the epidemiological history of the febrile patients in detail, and implement the first diagnosis and temperature measurement. Improve the process of isolation and disposal of febrile patients in the outpatient area, and take measures such as medical observation, isolation and treatment, and categorization and management of suspected cases as well as close contacts and febrile patients in accordance with the regulations. Strictly control the outpatient waiting area, strictly control the number of patients entering the diagnosis and treatment area, if necessary, can be closed management, to avoid the second gathering of patients. Conditional medical institutions to provide online or telephone consultation services, eligible chronic diseases, geriatric patients, prescription dosage can be appropriately extended to reduce the number of patients to the hospital.
Four, strictly do a good job of medical material protection. Various types of medical and health institutions at all levels to do a good job of protective supplies and medicines and other materials reserves, adequately equipped with medical prevention and control work necessary to check, disinfection and protection and other supplies or equipment. Medical and health institutions in the protection of medical personnel on the basis of reasonable protection needs, the implementation of the management system, detailed management measures, good management of medical protective supplies, optimize the use of maximum effective use of protective materials, to eliminate waste.
Fifth, strictly maintain good medical order. Various types of medical and health institutions at all levels to improve the safety and security system, strengthen the security work, strengthen the control of entrances and exits, equipped with security personnel, if necessary, with the police room police joint duty. To take the initiative to coordinate the township (street), community and public security organs *** with the strengthening of the hospital fever clinic, isolation wards and other crowded key diagnostic and treatment areas of the safety and security work. Violation of the personal safety of medical personnel, disturbing the medical order behavior, timely report to the public security organs to deal with according to law.
Sixth, strictly carry out full training. Various types of medical and health institutions at all levels should make use of online training (logging in to nationally recognized training networks such as China Continuing Learning Education Network, Huamedicine Network, etc.) to strengthen the training of medical and nursing personnel, especially doctors, nurses, managers and rural doctors of community health service centers and township health centers. A full training system should be established, and training should be carried out on the detection and reporting of new cases of coronary pneumonia, epidemiological investigations, specimen collection, laboratory testing, medical treatment, hospital-acquired immunodeficiency syndrome (HAIIS) prevention and control, confidentiality management, and personal protection according to the target audience, so as to improve prevention, control, and treatment capabilities. The training should cover all medical personnel as well as management, logistics (including outsourcing services) and other personnel.
Seven, strictly strengthen the protection of medical personnel. Various types of medical and health institutions at all levels to strictly implement the relevant provisions of the state and technical specifications, equipped with appropriate protective equipment, guidance and supervision of medical personnel to do a good job of protection. Medical personnel to raise awareness of self-protection, in accordance with graded protection standards and relevant technical specifications for personal protection, hand hygiene and other protection, all medical personnel engaged in diagnostic and treatment activities during the medical surgical masks or medical protective masks must be worn as required. To participate in the treatment of Chinese medicine experts, to carry out targeted isolation protection and other related knowledge training, by the medical institutions qualified assessment before participating in the treatment. To further strengthen the internal disinfection of health care institutions, good environmental hygiene, and to prevent the occurrence of infection of primary health care workers.
VIII, strictly do a good job of epidemic information reporting and confidentiality. Various types of medical institutions at all levels to do a good job on time to report information on the epidemic, establish or designate a specific department and full-time (part-time) staff responsible for the management of the new crown pneumonia information reporting, the establishment of the new crown pneumonia data use of the registration and auditing system, shall not be disclosed to the outside world of the new crown pneumonia patient's personal privacy information data.
Nine, strictly do a good job of employee screening and supervision and inspection. Various types of medical institutions at all levels should immediately start all on-the-job cadres and staff (including staff, non-staff, borrowed and hired staff) on the number of people on the job, suspected cases, confirmed cases, 14 days out of the history, confirmed cases and suspected cases of contact history, health status of the comprehensive investigation. Suspected cases and close contacts detected should be reported according to regulations and corresponding preventive and control measures should be taken. All localities and relevant units should strengthen supervision and inspection, and realize full coverage of inspection for medical treatment designated hospitals and medical institutions with fever clinics. Weaknesses and hidden risks found should be immediately supervised and rectified. Strict implementation of accountability and retrospective system, the task is not implemented, measures are not in place, there is dereliction of duty personnel to be dealt with seriously, resulting in serious consequences, the relevant responsible person to be held legally responsible.
Ten, strictly carry out publicity and education. Various types of medical institutions at all levels should be timely to patients, residents to publicize the new crown pneumonia epidemic prevention and control knowledge, guidance to patients, residents, scientific understanding and prevention of disease, guide the establishment of correct concepts of prevention and control, standardize self-discipline behavior, improve self-prevention awareness and personal protection; minimize participation in large public gatherings, personal symptoms in time to see a doctor.
All levels of command, all levels and types of medical and health institutions to receive this notice, combined with the actual, rapid implementation in place.
February 13, 2020
Source: website of the Health Commission of the Autonomous Region