Measures for the management of hospital-acquired infections in medical institutions during the epidemic

One is to strengthen the treatment of patients with acute and critical illnesses.

Medical institutions, on the basis of good protection, the establishment of a green channel for the treatment of patients with acute and critical illnesses, set up emergency isolation areas and buffer zones for emergency treatment of patients with acute and critical illnesses who have not yet obtained the results of nucleic acid testing. Establishing a green channel for nucleic acid testing of patients with acute and critical illnesses, expediting the issuance of test results, and medical institutions with the conditions can adopt the nucleic acid rapid testing technology that has been approved for marketing, shortening the testing time of patients with acute and critical illnesses, and facilitating the treatment of patients from the quick. Districts should designate a regional medical center as a hospital for the rescue and treatment of residents of medium and high-risk areas, and medical teams should be dispatched to patrol and take the initiative to serve the communities (villages) where the sealing and control measures are taken.

The second is to strengthen hospitalization management.

Tertiary general hospitals to strictly implement the requirements related to the normalization of epidemic prevention and control, the establishment of inpatient integrated transition (buffer) wards, based on the patient's condition to do a good job of graded screening, reduce the potential risk of intra-hospital cross-infection. General ward to take a "bedspace" or a single and other admission methods to ensure that patients are effectively treated.

Thirdly, strengthening the management of emergency surgery and other dispositions.

Establishing an emergency mechanism for the disposal of acute cerebral hemorrhage, acute myocardial infarction, severe trauma, gastrointestinal hemorrhage, high-risk pregnancy and childbirth, aortic coarctation, and other acute and critical patients, and upgrading the level of protection of medical personnel, to guard against the risk of doctor-patient infections.

Fourth, strengthen the interventional diagnosis and treatment services.

Strengthening cardiovascular, endoscopy and other interventional diagnostic risk grading and classification assessment, timely admission and treatment of patients with acute and critical illnesses, malignant tumors and other patients, and prioritize the development of acute myocardial infarction and other acute and critical illnesses, threatening the patient's safety, and affecting the quality of the patient's long-term survival of interventional diagnostic operations.

Fifth, do a good job of hemodialysis patient services.

Establishing a coordinated service mechanism for hemodialysis patients in which hospitals and community health service agencies share responsibility and work closely together, asking hemodialysis patients about their epidemiological histories, and carrying out nucleic acid testing and screening for dialysis patients; and when hemodialysis is carried out for patients who have not yet ruled out new cases of coronary artery disease or for patients who are in isolation in medium- and high-risk areas, the hospitals will take appointments, set up special time slots and special areas, and have special people to dock with to do a good job of providing medical care. Work; the community health service agencies in the area of isolation patients to map, carry out screening, special people and cars transfer docking, do a good job of medical personnel end of the disinfection, to protect the safety of hemodialysis patients.

Sixth, medical institutions to implement the mutual recognition of nucleic acid testing.

The city has the ability to detect the nucleic acid of the new crown pneumonia test results issued by medical and health institutions to achieve the city's mutual recognition, in principle, within 24 hours of the nucleic acid test is not repeated, beyond 24 hours of the results of the medical institutions according to the epidemiological history of the patient, the symptoms of a comprehensive research and judgment. Municipal disease control, medical testing quality control departments to do a good job of medical institutions nucleic acid testing laboratory quality control and supervision and inspection to ensure the quality of testing.

Seven is to optimize the appointment diagnosis and treatment and Internet + medical services.

Medical institutions above the second level of non-emergency comprehensive appointment implementation of the normalization mechanism, through the precise appointment of time, adjust the ratio of morning and afternoon number of sources, promote test and examination appointments, expanding the appointment pathway, improve the order of outpatient services, and guide patients to stagger the peak of the clinic. Encourage medical institutions to carry out online part of the common diseases, chronic disease follow-up, online prescribing, online settlement, drug delivery and other services to adapt to the diversified needs of patients.

The eighth is to strengthen services for non-acute and critically ill patients in primary medical and health care institutions.

To give full play to the role of grass-roots community health service organizations, in order to do a good job in the long prescription of chronic disease patients, online consultation and medical guidance, as well as home delivery of medicines, at the same time, to play the role of the family doctor "health gatekeeper", and take the initiative to contact and communicate with the contracted service recipients, to understand the state of health, and to do a good job of health tips and tracking visits

At the same time, to further do a good job of hospital infection prevention and control and supervision and guidance, the implementation of hospital infection prevention and control of the details of the management of 16 measures and continue to strengthen the hospital infection prevention and control of the management of the requirements of the medical institutions, and to increase the supervision and inspection efforts to effectively protect the quality of medical services and medical safety.

Legal basis:

"The Chinese people's *** and the State Law on Prevention and Control of Infectious Diseases" Article 12 of the Chinese people's *** and the State of the field of all units and individuals must accept disease prevention and control institutions, medical institutions related to infectious diseases, investigation, testing, collection of samples, isolation and treatment and other preventive and control measures, and to truthfully provide the relevant information. Disease prevention and control institutions, medical institutions shall not disclose relevant information involving personal privacy, information.

Health administrative departments and other relevant departments, disease prevention and control institutions and medical institutions due to the illegal implementation of administrative or preventive, control measures, infringement of the legitimate rights and interests of units and individuals, the relevant units and individuals can apply for administrative reconsideration or litigation in accordance with the law.