In order to prevent, control and eliminate the occurrence and spread of new coronary artery pneumonia epidemic in the inpatient ward, to protect the inpatient ward health care workers, patients and accompanying personnel's physical health, especially the development of inpatient hospitalization epidemic prevention and control management notice is as follows.
One, outpatient, emergency management
1. Fever patients with body temperature ≥ 37.3 ℃, must go to the fever clinic. Patients and their companions must wear the correct medical surgical mask throughout the visit, with the medical staff to carry out a special epidemiological history of the new coronary pneumonia outbreak investigation, and take the initiative to report the situation.
2. Strictly implement the "one patient, one consulting room", patients and accompanying personnel must wait in the waiting area, enter the consulting room after the doctor calls.
3. In places where people tend to gather for consultation, payment, and medicine collection, it is important to maintain a social distance of more than one meter between people.
4. A patient can bring a maximum of one accompanying person into the clinic building.
5. Used masks should not be thrown away, and should be put into the designated medical waste bin. Use running water to wash hands or quick hand sanitizer to disinfect after touching public **** items.
II. Management of hospitalized patients
6. Patients and their companions need to sign the "patients and their companions hospitalization epidemic prevention and control commitment" before hospitalization.
7. After hospitalization, patients will be admitted to the buffer ward first, complete a nucleic acid test and report the result within 24 hours, receive epidemiological history investigation and related differential diagnosis of new coronary pneumonia, and then move to the general ward after preliminary exclusion of new coronary pneumonia.
8. Nucleic acid testing was performed immediately when patients were hospitalized with fever, respiratory tract and other suspicious symptoms; for long-term hospitalized patients, nucleic acid testing was performed every 14 days; and nucleic acid testing was performed every 7 days for patients in the emergency room and respiratory department.
9. During hospitalization, patients wear masks except for medical reasons.
10. After patients return from outing, they need to have temperature test and epidemiological history investigation, and can enter the ward only after there is no abnormality.
11. Patients are required to complete a nucleic acid test within 24 hours before discharge and report the results.
Third, the patient's companion management
12. Companions need to hold a companion card, ID card and wear a wristband to enter the hospital; in principle, one patient, one companion.
13. During the period of buffer wards, all of them are not allowed to go out of the room; complete a nucleic acid test within 24 hours and report the results, accept the epidemiological history of the investigation and the differential diagnosis of the related new coronary pneumonia.
14. Chaperones are required to do another nucleic acid test and report the result after finishing a chaperone session.
15. Nucleic acid testing is performed every 14 days for long term escorts and every 7 days for escorts of emergency room and respiratory patients.
16. During the escort period, all wear masks.
17. After the return of accompanying personnel out of the room, the temperature test, epidemiological history of the investigation of no abnormality before entering the ward. 18. accompanying personnel shall not be strung wards during the accompanying period, in principle, shall not go out.
Four, visitation management
19. Continue to implement the provisions of the total ban on visits. The ward is under 24-hour closed management. During the hospitalization period, relatives and friends are not allowed to visit, and it is recommended that they should greet each other by video or telephone to avoid cross infection.
V. Ward management
20. The inpatient area set up a pre-screening triage point for all patients and accompanying personnel entering the inpatient area, all strictly check the patient wristbands, accompanied by wristbands, accompanied by the card, ID card, and body temperature test, ask for epidemiological history, require the wearing of masks, check the health code.
21. Each ward set up epidemic prevention and control checkpoints, all patients and escorts entering the ward, all strictly verified patient wristbands, escort wristbands, escort card, ID card, and temperature testing, require the wearing of masks, and registration of personnel identity, body temperature and other information.
22. Public **** area in the inpatient area, strict disinfection management and disinfection records. Such as: halls, corridors, elevators, boiler room, public **** bathroom.
23. Strict control of buffer wards within the patients and companions are not allowed to go out of the room, the general ward patients and companions are not allowed to string wards.
24. Buffer ward patients transferred to the general ward shall be final sterilization of the room.
25. The wards are diligently ventilated and equipped with hand hygiene equipment.
Sixth, the internal management of medical institutions
26. Inpatient ward management to implement a hand responsible system, the establishment of a sound system of management of the various wards, a clear division of responsibility, the refinement of the workflow, at least once a week, a meeting was held to study and rectify matters of prevention and control.
27. Guarantee the normal use of various facilities and equipment and prevention and control of adequate supplies.
28. Strengthen the epidemic prevention and control training for medical and nursing staff in the ward.