In order to fully implement the central, provincial and municipal arrangements for the normalization of epidemic prevention and control in COVID-19, continuously consolidate and expand the epidemic prevention and control work in our city, and further strengthen the infection prevention and control work in medical institutions, relevant matters are hereby notified as follows:
First, continue to do a good job in medical treatment. In accordance with the requirements of the superior, we will continue to do our best to treat COVID-19 patients in our city, so that the designated hospitals will not be cancelled, the isolation wards will not be compressed, and the beds for observation will not be reduced. Retain three expert groups: city and county expert group, medical treatment group, infection prevention and control group and Chinese medicine medical service group, and give full play to the guiding role of city and county expert groups in clinical diagnosis and treatment. Non-emergency patients should make an appointment to register. Except for emergency and fever clinics, all patients should make an appointment before seeing a doctor. Medical institutions above the second level should announce the relevant appointment diagnosis and treatment methods to the public, so as to ensure that patients can make appointments through hospital outpatient appointment registration telephone, Internet, WeChat official account, etc., so as to minimize crowd gathering.
The second is to highlight key parts and strengthen the management of key links. Guide all kinds of medical institutions at all levels to actively do a good job in pre-examination and triage, standardize the setting of 26 existing fever clinics, strictly implement the management requirements of "three districts and two channels", and take observation measures for suspected cases at the first time. Each isolation observation ward is equipped with an independent bathroom, and the isolation observation ward is closed, and no escort or visit is arranged. Patients under isolation observation shall not leave the isolation observation room unless they need medical treatment. Do a good job in the management of medical treatment for entry quarantine personnel and those coming to Thailand from key epidemic areas, and strictly separate the diagnosis and treatment process from the entry and exit, diagnosis and treatment areas, personnel and diagnosis and treatment routes of other diagnosis and treatment groups. All medical institutions should set up pre-inspection triage points in outpatient clinics, check the wearing of masks, take temperature, check health codes, seriously inquire about epidemiological history, check identity information and make appointment registration information. Health authorities will regularly and irregularly go deep into medical institutions to supervise and inspect the standardized construction of fever clinics and pre-inspection clinics. The first diagnosis responsibility system should be implemented, and the medical staff of fever clinic should master and implement the prevention, control, diagnosis and treatment plan of COVID-19. It is necessary to strengthen personal protection and standardize the collection, transportation, preservation and detection of nucleic acid samples in COVID-19. Suspected or diagnosed patients in COVID-19, medical personnel shall timely report and isolate them in accordance with relevant regulations, and timely transfer them to designated hospitals for further diagnosis and treatment, and shall not transfer patients to hospitals or discharge them without authorization.
Three, to further strictly implement the prevention and control measures of hospital infection. Guide all kinds of medical institutions at all levels to improve emergency plans and work processes, and standardize disinfection, isolation and protection of medical personnel. Continue to strengthen the income management of hospital patients, and medical institutions should formulate patient screening procedures during the epidemic. Patients admitted to the hospital and accompanying staff should be tested for serum antibodies, and high-risk groups should be tested for CT and nucleic acid. Conditional medical institutions can set up transitional wards to treat patients in newly-income hospitals in single rooms. After COVID-19 infection is eliminated, they can be transferred to conventional wards to continue hospitalization, so as to reduce the risk of potential cross-infection in hospitals. Strengthen the management of accompanying staff and ward, strengthen high-quality nursing service, and implement unnecessary no accompanying or visiting. Encourage medical institutions to carry out video visits, and if they must accompany them, they should strictly limit and do personal protection. For the accompanying personnel, do a good job in temperature detection, health screening and information registration, and strictly limit their activities. Actively promote the implementation of zoning management, strengthen ward access control and security management, and prohibit irrelevant personnel from entering and leaving at will. Strengthen the material reserves of medical institutions, and ensure adequate reserves of drugs, reagents and protective articles for daily medical services and epidemic prevention and control.
Fourth, strengthen the management of screening asymptomatic infected people. Continue to adhere to the "five unifications", all close contacts will be isolated from medical observation, all nucleic acid testing will be carried out, and the population and scope of testing and screening will be expanded. For asymptomatic infected people, all of them will be reported directly on the Internet within 2 hours after discovery, and sent to designated medical institutions for isolation observation and treatment, and imaging examination, routine blood examination and preventive services of traditional Chinese medicine will be carried out; After discharge, the patients were observed in isolation for 14 days, and long-term health management was done according to the confirmed cases.
Five, strengthen the management of discharged patients in COVID-19. Follow-up and nucleic acid detection of patients after discharge 14 days, 28 days, 3 months, and half a year shall be strictly implemented, and prevention and treatment management shall be implemented in designated hospitals, disease control institutions, and primary medical and health institutions to ensure that "discharge is managed", "isolation is managed", "rehabilitation is done" and "home visit is managed", so as to realize the full closed loop of hospitalization and discharge management and ensure the requirements of various systems.
Six, strengthen COVID-19 nucleic acid detection, expand the scope of detection. On the basis of improving the nucleic acid detection ability of nine existing medical institutions in our city, other qualified hospitals are encouraged to actively carry out nucleic acid detection. 12 "All inspections" shall be carried out for four groups of people, fever outpatients, inpatients and their accompanying personnel, overseas entry personnel, people coming to Thailand and returning to Thailand from epidemic areas, key students, personnel in special places, medical personnel in medical institutions, teachers, service personnel in public places, port quarantine personnel, medical and health institutions and personnel recommended by epidemic prevention and control institutions. Timely sampling inspection of key industries such as community workers and volunteers, maternal and child service personnel. According to the principle of "voluntary and self-funded", the masses are "willing to do all the inspections". Qualified testing institutions shall open testing services to units and individuals in need and provide testing certificates. Strengthen the information sharing and social application of test results.
Seven, strict implementation of standard prevention. Continue to play the role of a lecture hall for hospital infection prevention and control experts in our city, and hold regular hospital infection business training. Medical institutions should strictly implement standard prevention, and all kinds of personnel entering medical institutions should choose and wear masks correctly and carry out hand hygiene correctly. It is necessary to strengthen the cleaning and disinfection of the diagnosis and treatment environment, do a good job in ventilation management, implement the requirements of zoning management, rationally divide clean areas, potential pollution areas and pollution areas, and distinguish between medical personnel channels and patient channels. Medical staff should use protective equipment correctly and reasonably in the process of diagnosis and treatment, and on the basis of standard prevention, take additional protection according to the operational risk of diagnosis and treatment.
Taian municipal Committee epidemic situation management work leading team
May 7(th), 2020