2. The medical staff in the process of diagnosis and treatment of nursing according to the requirements of the corresponding level of protection. Prepare all articles before wearing isolation gown, and put articles unsuitable for disinfection into plastic bags to prevent pollution; Wear latex gloves when touching blood, body fluids, secretions or excretions; When aerosol or splash operation may occur during tracheal intubation, bronchoscopy, airway care and sputum aspiration, medical protective masks, goggles or protective masks, latex gloves, medical protective clothing (disposable impermeable isolation gown can be added) and breathing masks should be worn when necessary.
3. Those who wear isolation gown are not allowed to enter the potential pollution area and clean area.
4. Strictly abide by the disinfection and isolation system, and all kinds of medical devices should be disinfected after use. Disposable goods should be used as much as possible for treatment, and the tableware, leftovers and vegetable residues of patients should be disinfected.
5. Cleaning and disinfection of wards (1) Air disinfection: the wards, treatment rooms and offices of wards should be ventilated 2-3 times a day (pay attention to the clean area to the polluted area during ventilation) for at least 30 minutes each time; Daily ultraviolet disinfection (pay attention to shielding the eyes of staff and patients to avoid electro-optic ophthalmia) or mobile circulating air disinfectant disinfection, at least 60min each time. In addition to daily regular ventilation and air disinfection, the treatment room should also carry out regular air culture. (2) Cleaning and disinfection of environmental articles: the table tops, treatment vehicles and treatment trays in the treatment room should be scrubbed and disinfected in time after use. Containers containing pollutants can be soaked in disinfectant containing available chlorine 5000mg/L for 30 minutes, and then cleaned. (3) Cleaning and disinfection of the ground wall: use 0.2-0.5% peracetic acid, 500- 1000mg/L chlorine dioxide disinfectant and 1000-2000mg/L chlorine-containing disinfectant to spray and wipe it twice or three times a day for at least 30 minutes each time; The ground disinfection dose is 100-300ml/m2, sprayed once from outside to inside, and sprayed once from inside to outside after indoor disinfection.
6. Sweep the bed with a disposable bedspread in the morning care, one bed at a time. Change the clothes, sheets, quilt cover and pillowcase of patients in time after pollution; Bedside table, sickbed, chair, stool, etc. Wipe and disinfect with disinfectant every day. After the patient leaves the hospital and dies, the bed unit should carry out terminal disinfection.
7. Patients wearing medical surgical masks are not allowed to enter or leave the ward at will. All articles used should be disinfected first, and then cleaned and disinfected. Excrement, secretion, vomit, etc. It should be collected in a special container, soaked in 20000mg/L chlorine-containing disinfectant for 2 hours, then dumped, and the dressing should be burned.
8. All kinds of medical and nursing supplies should be treated according to the requirements of hospital infection management of medical disinfection after use. Disposable articles should be put in yellow plastic bags, labeled with "COVID-19", and someone should be responsible for recycling; All kinds of medical wastes shall be collected, packaged and recycled by special personnel according to regulations, and protected at the same time.
9. In principle, the isolation ward does not arrange visits. If it is really necessary to visit, visitors should be instructed to do personal protection according to relevant regulations.
10. Regularly check and monitor the disinfection and isolation of wards, and rectify the existing problems in time.
1 1. After the death of a suspected or confirmed patient, it is necessary to minimize the movement and handling of the body, which should be handled in time by trained workers under strict protection. Fill all the open passages of the patient's mouth, nose, ears and anus with 3000mg/L chlorine-containing disinfectant or 0.5% peracetic acid cotton ball or gauze; The corpse was wrapped in a double-layer cloth, packed in a double-layer watertight body bags, and sent directly to the designated place for cremation by a special vehicle.
Legal basis: Measures for the Implementation of the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC).
Article 2 The State implements the policy of giving priority to the prevention of infectious diseases. When making social and economic development plans, governments at all levels must incorporate the prevention and control objectives of infectious diseases and organize relevant departments to jointly implement them.
Article 3 The health administrative departments of governments at all levels shall exercise unified supervision and management over the prevention and control of infectious diseases. The health authorities of other relevant departments entrusted by the health administrative department of the State Council shall exercise the functions and powers listed in the first paragraph of Article 32 of the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases within this system. The prevention and control of infectious diseases in the army shall be supervised and managed by the competent health department of China People's Liberation Army in accordance with the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases, these Measures and other relevant provisions of the state.