First, the applicable object
Asymptomatic or mild infection without serious underlying diseases.
The basic disease is in a stable period, and there is no infected person who needs hospitalization due to serious dysfunction of heart, liver, lung, kidney and brain.
Second, the home environment requirements
If conditions permit, the family therapist should live in a relatively independent room in the family and use a separate bathroom as far as possible.
Families should be equipped with personal protective equipment such as thermometers, paper towels, masks, disposable gloves, disinfectants, disinfection products, covered trash cans, etc.
Third, the management requirements
Work requirements of community and primary medical and health institutions.
1. It plays an important role in the organization, mobilization, guidance, service, guarantee and management of community work mechanisms for epidemic prevention and control in various places. Grassroots medical and health institutions open consultation telephone, inform home treatment matters needing attention, and bring home treatment personnel into grid management. Home treatment should be given to special people such as empty nesters, patients with basic diseases, pregnant women and hemodialysis patients, and a ledger should be established to ensure necessary medical services.
2. Give guidance. The home therapist carries out antigen testing according to the specifications, and can ask the primary medical and health institutions for guidance when necessary. Grassroots medical and health institutions give necessary symptomatic treatment and oral medication guidance to those in need.
3. Assist in seeking medical treatment. Community or grass-roots medical and health institutions should know their main situation in time after receiving the demand of family therapists to help arrange medical treatment. Grassroots medical and health institutions should guide critically ill patients to do emergency treatment and help them to be transported to relevant hospitals as soon as possible. It is necessary to establish a rapid transfer channel between higher-level hospitals and urban and rural communities in counties and districts.
4. Psychological assistance. Establish a smooth psychological counseling hotline in cities. Grassroots medical and health institutions and communities should take the initiative to inform family therapists of the psychological hotline so that they can seek psychological support and counseling. For those who are found to have serious mental or mental health problems, they can report to local mental health medical institutions and make referrals when necessary.
5. Personal protection. When you are in contact with family therapists, you should protect yourself and try to keep the distance above 1 meter.
Self-management requirements of family therapists.
1. Health monitoring and symptomatic treatment. Home therapists should take 1 time temperature measurement and self-health monitoring every morning and evening. If you have symptoms such as fever and cough, you can take symptomatic treatment or oral medication. If necessary, you can also contact the medical staff of primary medical and health institutions or consult relevant medical institutions through Internet medical forms. Asymptomatic people don't need medication. When taking medicine, family therapists should take it according to the drug instructions to avoid blind use of antibacterial drugs. If you have a basic disease, there is no need to change the dosage of the basic disease treatment drugs being used when the condition is stable.
2. Referral treatment. In case of the following circumstances, you can drive by car or 120 ambulance to the relevant hospital for treatment.
Dyspnea or shortness of breath.
After drug treatment, the body temperature remained higher than 38.5℃ for more than 3 days.
The original underlying diseases are obviously aggravated and cannot be controlled.
Children's drowsiness, persistent refusal to eat, feeding difficulties, persistent diarrhea or vomiting.
Pregnant women have headache, dizziness, palpitation, breath holding, or abdominal pain, vaginal bleeding or bleeding, abnormal fetal movement and other symptoms.
3. control going out. Family therapists don't have to go out or be interviewed. For those who really need to go out for medical treatment, they should always do personal protection, arrive at the medical institution point by point, go home point by point after medical treatment, and try not to take public transportation.
4. Personal protection. Family therapists should be well protected and try not to contact other family members. If the family therapist is a lactating mother, she can continue to breastfeed her baby on the basis of personal protection.
5. Antigen self-test. Family therapists need to perform antigen self-test according to relevant epidemic prevention requirements and report the results.
6. Infection prevention and control requirements.
Open the doors and windows regularly every day to ventilate and keep the indoor air circulating. If there is no natural ventilation, mechanical ventilation can be carried out through the exhaust fan.
Do a good job in ventilation and disinfection of toilets, bathrooms and other * * * enjoyment areas.
Wash or disinfect your hands when preparing food, defecating before and after meals, taking off masks, etc.
Cover your nose and mouth with a tissue when coughing or sneezing, or cover your nose and mouth with the inside of your elbow and throw the used tissue into the trash can.
Don't use daily necessities with other family members. Tableware should be cleaned and disinfected after use.
The surfaces of articles that family therapists may contact and the towels, clothes and quilts they use should be cleaned and disinfected in time, and the personal belongings of infected people should be placed separately.
Family * * * use the bathroom, family therapists should disinfect every time they use the bathroom; If the home therapist uses a separate bathroom, it can be disinfected/kloc-0 times a day.
Used paper towels, masks, disposable gloves and other household garbage are put into plastic bags and put into special trash cans.
Articles contaminated by saliva, sputum, etc. Disinfect at any time.
Fourth, the conditions for ending family therapy
If the symptoms of the home therapist are obviously improved or have no obvious symptoms, the self-test antigen is negative, and the Ct value of COVID-19 nucleic acid detection for two consecutive times is ≥35, the home therapy can be ended, and normal life and going out can be resumed.
Verb (abbreviation of verb) guarantee requirements
The lead unit in charge of community work in the leading mechanism of epidemic prevention and control in various places should give full play to its role and earnestly take responsibility. Grassroots medical and health institutions should establish a 24-hour duty system, and designate a special person to undertake the health consultation work of home treatment of infected people. The community will arrange nucleic acid detection, garbage removal and environmental disinfection, and solve problems in time when they are found.
It is necessary to organize medical institutions to provide rehabilitation guidance and psychological support for family members through online and offline methods such as remote guidance and Internet medical care. Grassroots medical and health institutions should strengthen the inspection, guidance and health monitoring of home rehabilitation personnel within their jurisdiction through the Internet and other means. Secondary and tertiary hospitals should provide consultation guidance for primary medical institutions through telemedicine.
All localities should strengthen the reserves of commonly used drugs, antigen detection reagents and finger-clip oximeter in primary health care institutions, so as to effectively meet the needs of home treatment personnel for drug use and health monitoring.
Medical institutions should strictly implement the responsibility system for first diagnosis and emergency rescue system, and should not shirk or refuse to treat COVID-19 infected people, especially critically ill patients, at home for any reason.
Attachment: 1 Reference table of commonly used drugs for home treatment of infected people in COVID-19.
2. Guidelines for the detection of family therapy antigens for infected persons in COVID-19.
Attachment 1 Reference List of Commonly Used Drugs for Home Treatment of Infected Persons in COVID-19
Appendix 2 Guidelines for the Detection of Family Therapy Antigen for Infected Persons in COVID-19
1. Acquisition of detection reagents
1. Home therapists can purchase antigen detection reagents through drug online sales and e-commerce. , or assist in purchasing antigen detection reagents through primary medical and health institutions in the community or jurisdiction.
2. Community and primary medical and health institutions should provide convenience for family therapists in need, especially the elderly, to obtain antigen detection reagents.
Second, detection and result interpretation.
1. The home therapist can test and interpret the results by himself according to the requirements and procedures in the manual, or contact the medical staff contracted by the primary medical and health institutions to complete the test and interpretation of the results under their remote guidance.
2. The staff of the old-age care institution shall, when necessary, carry out antigen testing and result interpretation for the elderly in the old-age care institution according to the requirements and procedures of the manual.