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At present, the situation of epidemic prevention and control in autumn and winter is serious, the primary medical institutions as the first pass is very important, not only to keep the first line of epidemic prevention and control, but also to do a good job in the daily basic public health work.
as a primary health worker, the author summarizes some of the places that we need to pay attention to in our work.
the core of the epidemic prevention and control article: pre-screening misdiagnosis, patient information should be recorded completely.
In the new crown pneumonia epidemic prevention and control pre-screening misdiagnosis, many people record unevenly, some wrote the name did not leave a phone, some did not write the address, some body temperature has 38 degrees did not transfer to a higher hospital to check.
such an approach is extremely irresponsible, in the outbreak prevention and control we can not have the slightest intention, carelessly led to gross negligence, if the spread of the epidemic we can not afford.
In addition, can not be because of fly-head small profit interception of patients, in the case of insufficient medical capacity, we must quickly report referral, really keep the first guard post, the outbreak control in the first line, absolute non-proliferation.
public health to carry out the core: public health writing entry to regulate, there can be no logical errors.
1. Slow-disease follow-up table in a slow-disease follow-up table, a person in the first quarter height of 170 cm, 65 kg, the second quarter became 155 cm, 70 kg, so that a follow-up form let inspectors can find its error at a glance.
Again, for example, a diabetic two consecutive follow-up of the empty stomach blood sugar reached 11.0mmol, but still not recommended transfer to hospital also do not take drugs, diet of one thousand grams per day, but also filled with control satisfaction, good medical behavior.
a patient with high blood pressure measured thystolic pressure 110, systolic pressure 180, but also take blood flat tablets, once a day, one piece at a time, good medical behavior, control satisfaction.
...... 2. Chinese medicine physical defense table we in peacetime contact with patients have basically understood their living habits and physical condition, is what physique we have basically a number in mind, can not appear in a person's questionnaire three or four body, is both shady and impotence or sputum wet body.
3. The old age medical examination form such as this old man would have been a patient with chronic hypertension, in the follow-up form filled in is 160 cm tall, threaded pressure 70, systolic pressure 120, while in this old-age medical examination form height has become 180 cm, threaded pressure filling 90, systolic pressure filling 160.
the core of medical instruments: doing a good job of medical instruments is not only a legal basis, but also an important information to protect themselves.
in order to avoid unnecessary doctor-patient contradictions, doing a good job of medical documents is not only the basis of the law, but also to protect the doctor's own important information.
Some primary doctors in the skin test record wrote the patient's name and what medicine, and in the outpatient log there is no record of him, and some just symbolically made a skin test record, and the patient signed that column did not have the patient's signature and did not press the handprint.
such a risky behavior, in the event of a medical accident, we can not even protect ourselves the only basis.
In short, in order to do a good job of the grass-roots doctors this line, we still have to seriously act, down-to-earth, must not have a little sloppy, opportme, there is a lucky mentality.
otherwise in the outbreak prevention and control side is facing risks, in the public health aspects can not pass, in the medical aspects of harm to themselves, and ultimately not worth the loss.