Introduction Recently, the Comprehensive Team of the Joint Epidemic Prevention and Control Mechanism issued a notice on using the sentinel role of medical institutions to carry out normalized epidemic prevention and control work. In order to effectively implement the "four mornings" requirements, give full play to primary medical care The sentinel role of the institution is to achieve timely detection, rapid disposal, precise control, and effective treatment, and to carry out normalized epidemic prevention and control work. Let’s take a look at the specific regulations.
1. Give full play to the "sentinel" role of primary medical institutions
Town health centers, village clinics, community health service centers (stations), clinics, outpatient departments and other primary medical institutions Health institutions must implement the first-diagnosis responsibility system, register fever patients, report to the local health department within one hour, and guide patients with unknown causes of fever to fever clinics for further examination and treatment. Township health centers should set up temporary isolation wards in relatively independent areas to observe fever patients. All districts and counties should conduct nucleic acid tests on fever patients under observation at township health centers every day. Fever patients must provide a nucleic acid test report. If it cannot be provided, the fever clinic will report it to the district and county leading group (headquarters), which will organize personnel to conduct nucleic acid testing on the patient.
2. Give full play to the "sentinel" role of the fever clinic
All patients who visit the fever clinic must scan the "health code" and undergo nucleic acid testing. Cases to be ruled out and suspected cases should be quarantined for medical observation as soon as possible and basic medical services should be provided. Fever clinics shall not refuse to admit patients with fever. All types of medical institutions must fully implement the pre-examination and triage system. Patients with symptoms such as fever, cough, fatigue, etc. must be accompanied by dedicated personnel to seek medical treatment in fever clinics according to prescribed routes and under protective conditions. Strictly implement the first-diagnosis responsibility system, and medical staff must be "gatekeepers". When suspicious cases such as fever are found, relevant information must be registered in detail, and timely reporting, treatment, and transfer must be carried out in accordance with relevant procedures. All localities should strengthen publicity and guide fever patients to seek medical treatment in medical institutions with fever clinics.
3. Strengthen the supervision of "sentinel points" and strictly enforce the responsibility check system
All localities must strengthen the guidance and supervision of medical institutions, especially those with the nature of "sentinel points" Institutions must carry out regular inspections and random unannounced visits, supervise the implementation of various measures, ensure the sensitivity of "sentinel points", and resolutely prevent the spread of the epidemic caused by poor implementation of duties. All localities should further strengthen the management of new coronavirus nucleic acid testing and include the above-mentioned personnel discovered through "sentinel points" into the scope of "exhaustive testing". After confirming that the nucleic acid test result is negative, control measures must be lifted promptly and the "health code" must be adjusted back to normal. If each "sentinel point" fails to implement testing, registration, reporting, guidance and other measures, resulting in "not inspecting when it should be inspected", a back-up investigation will be carried out to hold relevant institutions and responsible persons accountable in accordance with laws and regulations.
4. Give full play to the "sentinel" role of the emergency center
Strictly implement the ambulance information transmission and feedback system. For those who call the "120" emergency hotline due to fever and are transferred to the fever clinic for medical treatment via the 120 ambulance, the emergency center must complete the handover and registration, and at the same time report the patient's transfer information to the district and county leading group (headquarters). The information should include the patient's name. , address, age, symptoms, hospital, etc. If "120" is dialed due to fever but no transfer is carried out, the emergency center will verify the patient's accurate information and report the patient's accurate information to the district and county leading group (headquarters). The leading group (headquarters) will organize protective measures and guide the patient to a fever clinic for treatment.
The above is the sentinel role of primary medical institutions. Although the epidemic is now in the normalization stage, we still need to do a good job in epidemic prevention and control during the period of rapid development of foreign epidemics.