Beijing fever clinic "upgrade" 234 community hospitals to build screening posts

Medical Network December 7th, 234 community hospitals have set up fever screening posts in Desheng Community Health Services Center, a 6 square meter square cabin recently opened, bear the original need of 80 square meters to achieve the fever outpatient function.
the newly opened infected building at Beijing's CenturyTan Hospital, the negative-pressure transfer chamber and four negative-pressure wards, which are just enough to lie down for an adult, are the "hard core devices" added this year.
300 new negative pressure beds have been added to Beijing Ditan Hospital, forming a separate area.
fever, is the most common response of the human body against pathogens, fever clinic has become the forefront of infectious disease prevention and control.
the outbreak of new crown pneumonia, a large number of medical institutions in Beijing ushered in the transformation.
hospitals built new buildings, outpatient, inpatient, testing functions in one, the community added heating posts, assume the "first diagnosis responsible" system, in order to achieve the closed-loop management of fever patients.
as of November 30, 33 hospitals in Beijing had completed the transformation of fever clinics and 234 community health service centers had completed the construction of fever screening posts.
transformation continues.
hospital fever clinic "upgrade" Beijing Century Temple Hospital West Gate, a new infected building recently opened, ushered in the first batch of fever patients.
ago, it was a bungalow.
june this year, Beijing's new outbreak of clustered outbreaks, after experiencing multiple rounds of the outbreak of new crown pneumonia, Beijing hospitals accelerated the hardware transformation.
the building, which is more than 14 years old, was bullddoed down and quickly rebuilt in three storeys, making it the youngest building in the hospital.
November 20, an elderly female patient came to see a doctor because of fever, in the first floor of the fever clinic temperature measurement, diagnosis, registration, registration, blood pressure measurement, and then entered the doctor's office.
In the second floor, the transformation is still under way, the hospital infection department deputy director Zhang Jie and nurse Xu Yimin shuttled between the ward and the aisle, surrounded by a ventilator undergoing commissioning, for the placement of electrostitometers and other equipment mobile shelves and various types of building materials, they discussed whether the electronic access control outside the ward should be moved into the inside, this is the final adjustment, a few days later, the whole building will be fully opened.
the outbreak, the fever clinics in major hospitals have become "outposts" for the prevention and control of infectious diseases.
June 10, "West Side Master" Tang Jingyi is in Beijing Xuanwu Hospital fever clinic diagnosis of the new crown, and in the flow of the key information of the new place.
in order to strengthen prevention and control, the Beijing Municipal Health and Health Commission asked the Sanjia Hospital to the original fever clinic for transformation or reconstruction, in case the outbreak of normal prevention and control, and then, many hospitals began to break ground.
As early as February this year, the official website of the Beijing Municipal Health and Health Commission began to hang up the corresponding approval, some hospitals need to suspend the opening of consultations, some need to postpone, and some cancel, including both Peking University Hospital and other triple-A general hospitals, but also Fengtai Hospital, Mentougou District Hospital, Miyun District Maternal and Child Health Hospital and other district hospitals.
17 hospitals in 14 municipal hospitals in Beijing, including the "one hospital, one policy" upgrading and transformation project.
a few months, the modified fever clinic will be opened accordingly.
hospitals in The City of Shanghai, the first to open a new fever clinic was Anzhen Hospital, which was opened on November 13.
10 days later, Beijing Children's Hospital fever clinic upgrade completed, followed by Beijing Chest Hospital, Beijing Friendship Hospital, Beijing Water Pool Hospital Huilongguan Hospital District, Beijing Tsinghua Changyu Hospital and so on.
a doctor involved in the renovation project told the Beijing News that the situation of different hospitals, the so-called "one hospital, one policy", that is, on the basis of existing building conditions, choose different renovation or new construction programs.
, some hospitals have built an infected building directly, such as the Beijing Century Temple Hospital, others have built temporary buildings, such as the Beijing Children's Hospital, and others have been remodeled and expanded on the basis of the original buildings, such as the Anzhen Hospital in Beijing.
reporters understand a number of hospital transformation programs found that the size of the new fever clinic slightly different, but the internal functional design is much the same.
" three floors, like a small hospital, can achieve closed-loop management.
" Zhang Jie introduced.
, centurytan hospital infection department is located in the bungalow ward clinic and stay ward is insufficient, prevention and control standards can not meet the latest requirements.
new building has a more integrated set of functions.
First floor outpatient clinic, with four fever clinics, two intestinal outpatient clinics, four outpatient isolation observation rooms, equipped with routine inspection project laboratory and separate CT examination room;
each layer is classified as "three zones and two channels", that is, pollution zones, buffer zones, clean areas, clean channels, pollution channels, used to prevent infection in hospitals.
to increase the clinic, CT, PCR laboratory, improve the spatial layout, diagnosis and treatment process ... Several other hospitals that have been remodeled have made these changes.
in the new fever clinic, patients can be examined, can also stay in hospital, pharynx swabs can be sampled in place, sent for examination, the flow of people and specimens is controlled in a fixed area, as far as possible to minimize the scope of impact.
December 1, in Beijing Xinguan pneumonia epidemic prevention and control work 180th press conference, Beijing Municipal Health And Wellness Commission spokesman Gao Xiaojun introduced, as of November 30, Beijing 33 hospital fever clinics have been completed, after the hospital expert group acceptance can be opened, when the fever clinic will reach 101.
the number of negative pressure wards in Beijing will increase to 700 by 2022 almost at the same time, beijing's negative pressure wards have expanded significantly.
is a "high-end" ward that has a unique role to play in the prevention and control of infectious diseases.
Negative pressure ward air pressure value is lower than the outside world, because the air floating material will only flow from high pressure to low pressure, therefore, the virus will stay in the low pressure indoors, will not "reverse" to the outdoor, eliminating the possibility of pollution spread to the outside world.
Beijing Ditan Hospital Infection Management Department Director Lu Joint explained that the infectious and pathogenic power of pathogens is very different, survival time in the air is also different, not all infectious diseases have to use negative pressure ward, but when strange infectious diseases hit, negative pressure ward can ensure the safety of the environment, reduce the risk of infection in the hospital, because the multiple discharge of gas from the machine disinfection, is completely clean.
may be why Beijing Ditan Hospital has stipulated that all new patients with respiratory infections must be in negative pressure wards for the first time.
On January 12 this year, the first two patients with neo-crown pneumonia in Beijing were placed in the negative pressure ward of the ICU of Beijing Ditan Hospital late at night, and in 2019, pneumonic plague patients who entered Beijing from Inner Mongolia were also treated in the negative pressure ward of Ditan Hospital.
"air pressure barriers" rely on separate new wind and air purification units, which run uninterrupted once the wards are activated, consuming electricity every minute.
High cost coupled with low demand, so that the prevalence of negative pressure wards is not high, before the opening of the new infection building, Beijing Century Temple Hospital has no negative pressure wards, in the infectious diseases with the advantages of the Ditan Hospital, negative pressure wards are only eight.
year, major hospitals after the transformation of the fever clinic, negative pressure wards have been paid attention to.
Beijing Anzhen Hospital, Beijing Friendship Hospital, Beijing Tsinghua Changxuan Hospital, Beijing Chest Hospital, Beijing Hospital for the Elderly, etc. have added negative pressure wards, CenturyTan Hospital infection building of 8 wards, 4 are negative pressure wards.
Beijing Ditan Hospital added 300 new negative-pressure beds in one breath, forming a separate sick area.
does the negative pressure ward look like? Reporters in the Century Temple Hospital saw that the inside of the ward and the general ward, placed beds, shelves, all kinds of medical equipment, only outside the ward wall with a small electronic screen, showing the internal air pressure.
Zhang Jie introduced, the inside of the ward also has air pressure partition, bathroom air pressure is the lowest, the bed area is higher, the external highest, can further control aerosol transmission.
the "West Side Master" Tang Jing, who had been treated in the negative pressure ward, did not feel "air" different, nor did he feel uncomfortable.
new negative-pressure wards also incorporate some clever thinking. the cameras in
wards operate 24 hours a day, and the multifunction tablet can call for medical care and video calls at any time, with UV disinfection devices, a transmission box that can only open one side door at a time, making it easier to deliver items between the contaminated and clean areas.
these modern designs make it easier to operate health care.
And Xu Yimin, who have experienced the Wuhan outbreak, have a personal experience.
the first half of this year, the two men were supported for 65 days at the Western Hospital of Wuhan Concord Hospital, where the isolation ward was temporarily converted from a general ward.
In addition to room inspection, inspection, care, delivery of medicine, communication must wear three levels of protection, into the quarantine area to carry out;
, they went into quarantine and hardly came out easily.
in newly adapted wards, contactless language exchanges and delivery of items between doctors and patients are simpler, improving safety and giving doctors a more real-time view of patients.
present, the negative pressure ward of Ditan Hospital is used to treat confirmed patients and immigration screening patients, while the negative pressure ward of CenturyTan Hospital is prepared for suspected patients and other patients with more serious respiratory infections.
Lu told reporters that there is no new crown pneumonia patients, negative pressure ward will not be vacant, can be used as a general ward, but also to carry out daily maintenance and testing, air system also needs to be replaced regularly.
According to the Three-Year Action Plan for Strengthening the Construction of the Capital's Public Health Emergency Management System (2020-2022), released in June this year, the number of negative pressure wards in Beijing will increase to 700 by 2022, with the cumulative number of negative pressure wards in hospitals such as Ditan Hospital, You'an Hospital and Chaoyang Hospital increasing to 300, and no fewer than 160 other municipal general hospitals and not less than 160 district hospitals, ensuring that each district is not less than 160.
new public hospitals above the second level shall be equipped with a certain number of negative pressure wards in accordance with the construction standards.
community hospital heating post construction "speed up" many people have been due to fever in the community hospital wall, on the grounds that "there is no fever clinic", such a situation is expected to improve.
reporters learned from the Beijing Municipal Health and Health Commission, Beijing is promoting the community health service center heat screening post construction, in order to play the primary health care institutions "probe" role.
the community's hot spots, both to undertake patient screening tasks and to complete the diversion work.
Before entering the center, patients must first undergo a temperature test of a non-contact thermometer or infrared thermometer, and when it is greater than 37.3 degrees C, they must enter the fever screening post through a special channel and receive temperature retest, information registration and epidemiological history and symptom inquiry.
Among them, inquiries about epidemiological history include a history of residence within two weeks, a history of exposure to other patients with fever or respiratory symptoms, a history of aggregation in work and living places, and a history of residence in high- and medium-risk areas during the outbreak, as well as a history of exposure to confirmed patients.
this is the key criterion for subsequent se through.
Patients without epidemiological history, clinical manifestations and examination results do not meet the diagnostic criteria for infectious diseases such as neo-corona pneumonia, will enter the independent clinic for follow-up treatment, if there is epidemiological history, clinical performance and examination results meet or partially meet the diagnostic standards of infectious diseases such as neo-corona pneumonia, then the attending physician will be directed to the sentinel observation area in-place isolation and immediately reported, through 120 or special vehicles to the designated fever clinic.
According to the requirements, each post is equipped with at least 3 years of work experience of physicians and nursing staff, medical personnel must master the characteristics of the relevant infectious diseases, diagnostic standards, treatment principles, protective measures and disinfection and isolation measures.
fever patients, sentinel can not refuse to see, refuse to accept, to do the first consultation responsible.
the same as the fever clinic transformation, the community's fever outpost should also have "three districts and two channels."
the fact is that some community health service centers are unable to achieve this prevention and control setting because of the difficulty of coordinating construction land.
some community hospitals have taken a different approach.
In the Desheng Community Health Service Center in Xicheng District, modern technology provides a problem-breaking idea - a square cabin integrated fever clinic function, which opens up the doctor's end (clean area, 3 square meters), the patient's end (pollution area, 3 square meters), the doctor's end and the patient's end are installed induction electric door, forming two separate channels, and outdoor area (semi-polluting area) together to form a basic three-zone two channels.
cabin is split in two.
The patient enters the patient's end, the medical staff at the doctor's end can communicate with the patient through acrylic transparent plate and intercourse device to complete the flow, the transparent board is attached to the operating gloves, the medical care can carry out nucleic acid test sampling, the sample is placed in the contaminated test tube transfer box embedded in the wall of the patient's side compartment, taken from the outdoor.
one-click video phone on the doctor's side can call 120 car referrals, tablets can carry out information reporting, issue referrals.
patients turn out, the medical staff on the doctor's side can remotely control the wind system, air killing system, ultraviolet lamp disinfection, etc. , to disinfect the patient's end.
This experience has been organized into a square cabin heating post construction standard (trial), and further put forward quantitative indicators, such as the doctor-patient space should exist air pressure difference, the patient end is lower than the doctor's end, the doctor's end is lower than the external atmospheric pressure, in order to further control the risk of infection.
The Beijing Municipal Health and Health Commission said that community health service centers with difficult coordination of construction land and difficulties for existing institutions to achieve functions such as "three districts and two channels" could be built in the form of square-cabin heat screening posts.
according to the Three-Year Action Plan for Strengthening the Capital's Public Health Emergency Management System (2020-2022), 189 community health service centers should be built in Beijing by the end of 2022.
reporter learned from the Beijing Municipal Health and Health Commission, as of November 30, Beijing has completed the construction of 234 community health service center heat screening posts.
fever clinic is an experience and practice that has developed since SARS in 2003 and can play an important role in early warning and sentinel surveillance of infectious diseases.
during the normalization of the epidemic, the current cases found mainly through two channels, one is fever clinic, such as Beijing, Dalian, Shanghai and other places, the first case is found in the fever clinic.
's the other one