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China - Mingshui county hospital implements COVID-19 prevention and control procedures - Heilongjiang province - June 1, 2020

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  • China - Mingshui county hospital implements COVID-19 prevention and control procedures - Heilongjiang province - June 1, 2020

    Mingshui is north of Harbin

    Mingshui County People's Hospital guards the "outpost" of prevention and control

    2020-06-01 10:53:28 Source: Heilongjiang Daily Author: Wang Wei

    Heilongjiang Daily on June 1 hearing Ming Shuixian Hospital Medical uphold the one hand, on the one hand prevention and control, "correct" to take a number of prevention and control measures, to prevent cross infection, the epidemic prevention and control network tie more dense and more Firmly and firmly guard the "outpost" of hospital prevention and control.
      Keeping "Five Doors" to Protect the Safety of Doctors and Patients
      Mingshui County People's Hospital firmly adheres to the "five doors" and strictly controls access to prevent cross-infection.
      Keep the bayonet door before hospitalization. When passing the bayonet, the visiting patients and accompanying persons must strictly implement "wear mask, measure temperature, scan health code and travel code", and ask if there are symptoms and signs of fever, cough, diarrhea, dyspnea and history of residence.
      Hold the pre-examination triage door. Install infrared intelligent temperature measuring door, all personnel entering the building must go through this temperature measuring door for body temperature detection. Infectious physicians serve as primary screening doctors, nurses monitor and triage patients, and medical personnel provide secondary protection with detailed information about entry personnel.
      Hold the door of the outpatient clinic. Outpatient doctors strictly implement the responsibility system for the first visit. When receiving patients, they again check the body temperature and identity verification, carry out epidemiological investigations and register.
      Hold the inpatient ward door. All wards strictly implement the access control system, implement 24-hour closed management, and visits are strictly prohibited. Strictly implement "one patient, one escort", it is not allowed to change the escort, and the escort should check the temperature at least twice a day. Inpatients and accompanying staff do not leave the ward, and the patients adopt a canteen ordering system for dining.
      Hold the staff access door. Employees need to hold the door card in accordance with the schedule of their work, and it is strictly forbidden to lend the door card or bring others into the building.
      Strictly check the "two channels" for suspicious patients
      Strictly control the "screening" of fever clinics. Fever clinics adopt standardized zoning management, medical staff are on duty 24 hours, strengthen personal protection, conduct epidemiological history investigations on fever patients and other isolation personnel, and register in detail for the record. Fever patients must undergo new coronavirus nucleic acid testing, antibody testing, lung CT and blood routine tests. Those with normal test results can carry out the next diagnosis and treatment; for the cases to be investigated and suspected cases, the patients should be isolated and arranged separately before the test results are returned. Medical personnel provide basic medical services. Strictly screen the cases, report the suspected cases in time, and organize expert consultation. Set up single and single room wards for fever clinics, and arrange full-time disinfection nurses in each district of fever clinics, and are equipped with ultraviolet circulating air disinfection machines. After the patients are transferred out, the patients' areas, wards, and used items are thoroughly terminated. End disinfection.
      Strictly "detect" nucleic acids and serum antibodies. Purchasing a PCR instrument imported from the United States and setting up a PCR laboratory. After being filed by the Suihua City Disease Control Center and the Municipal Health and Health Commission, it officially provides nucleic acid testing and serum antibody testing services to the "six types of people" who need nucleic acid testing. .
      Standardize the consultation process to ensure medical safety
      The People's Hospital of Mingshui County strictly regulates the process of medical treatment, and strives to meet the medical needs of the people under the premise of ensuring medical safety.
      For outpatients, patients who have no fever and respiratory symptoms can enter the hospital area after pre-examination and sorting. Outpatient doctors play the role of "gatekeeper" of the first doctor, and find suspected cases immediately follow the prescribed process and do follow-up consultation and transfer , Admission and other related work, so as to complete the collection and treatment. Nucleic acid testing is required before the first treatment of patients undergoing staged treatment in the outpatient clinic.
      For emergency patients, you can enter the emergency department after the pre-screening and triage without any abnormalities, and perform the initial screening of serum antibody testing. Before the test results are returned, treat them as suspected cases and treat them in the emergency isolation observation area. Emergency treatment; if hospitalization is required after the treatment, it will be taken to the corresponding department of the buffer ward for "one person, one room" isolation treatment, medical staff to protect the suspected case, supplemented with a negative result of nucleic acid test and transferred to the general ward.
      For inpatients, ordinary inpatients undergo rigorous screening before admission. Except for the epidemiological history and fever symptoms, all patients and accompanying staff should undergo lung CT (except for special groups such as pregnant women and children) Routine, nucleic acid testing and serum antibody testing, or submitting a test report issued by a nucleic acid testing medical institution published by our province within 7 days, can only be hospitalized after a negative test. The inpatient wards are zoned, with buffer zones and common areas set up, and newly admitted patients perform buffer zone "one person, one room" management.