Health care commission hair hospital sense prevention and control ten attention

Source: The Joint Prevention and Control Mechanism of the Joint Prevention and Control Mechanism of medical institutions under the Control and Control of Infections in Medical Institutions under the Further Normalization of Epidemic Prevention and Control (2020) No. 269 Provinces, Autonomous Regions, Municipalities directly under the Central Government and Xinjiang Production and Construction Corps to Respond to the New Coronary Pneumonia Epidemic Joint Prevention and Control Mechanism (Leadership Group, Command): To implement the spirit of the Fifth Plenary Session of the 19th CENTRAL Committee of the Communist Party of China, further strengthen medical institutions Infection prevention and control work, effectively reduce the risk of transmission of new coronavirus in medical institutions, do a good job in normal epidemic prevention and control work, combined with the current new situation and new problems, is now on the medical institutions infection prevention and control work put forward the following requirements: First, attach great importance to the medical institutions infection prevention and control work to do a good job in medical institutions infection prevention and control work, is the implementation of the Cpc Central Committee, the State Council on normal epidemic prevention and control measures, to ensure the quality of medical care and safety, to maintain the people's health is an inevitable requirement.
All regions should effectively unify their ideological actions into the spirit of the Fifth Plenary Session of the 19th CPC Central Committee and the important speech of General Secretary Xi Jinping, further establish the bottom line of infection prevention and control red line thinking, find short board loopholes in infection prevention and control, and grasp all infection prevention and control measures.
All regions should scientifically select and determine the medical institutions within the jurisdiction to undertake fixed-point treatment, isolation observation and other tasks, effectively fulfill the responsibility of prevention and control input, ensure that the requirements, materials in place in a timely manner, strengthen the overall planning of work, there must be no slack and luck, strict implementation of foreign defense input, internal defense rebound measures.
II, strengthen the internal management of medical institutions adhere to the "people, things and prevention" "doctors, patients with prevention" thinking, good medical institutions personnel, vehicles and materials "entry", in order to meet the normal needs of the premise, strictly control the number of medical institutions entrance opening.
personnel entering medical institutions should take temperature measurements, wear masks correctly, maintain a safe distance, and pay attention to cough etiquette and hand hygiene.
medical institutions that need to check their health codes, they should strengthen the standardized management of entrances, avoid crowd gathering, and shorten the waiting time for patients and escorts.
for the elderly and other groups that do not apply and do not operate smartphones, medical institutions above the second level should add a green channel without health codes at the entrance, staffed to help query health codes.
patients from medium- and high-risk areas, doctors and patients should do a good job of isolation protection, not to reject patients in high-risk areas.
strengthen the management of foreign personnel and articles such as medical institutions canteens, as well as express takeaways, maintenance, logistics and distribution, and carry out environmental testing when necessary.
3. Perfecting the medical institutions for appointment and pre-screening tri-diagnosis should vigorously promote the appointment of non-emergency patients, implement appointment registration, appointment examination and appointment treatment, reasonably allocate the time of consultation, and set up adequate waiting areas.
for the elderly and other groups that will not make an appointment online, you can take telephone appointments, window appointments, relatives and friends ad d'affaires and other measures.
Encourage medical institutions to carry out online pre-screening misdiagnosis to reduce the pressure of on-site pre-screening misdiagnosis when making appointments, set up pre-screening misdiagnosis points in the door emergency norms, arrange medical personnel with professional ability and experience to inquire about symptom signs and epidemiological history, and outpatient visiting physicians to strengthen the patient's consultation on the symptoms of neo-coronary pneumonia and epidemiological history, and implement the first diagnosis system.
for fever patients and patients found in pre-screening sub-diagnosis can not be ruled out from suffering from infectious diseases such as neo crown pneumonia, to arrange for a person in accordance with the designated route to guide to the fever clinic.
, optimize the medical management system Medical institutions should integrate infection prevention and control management into the whole process of medical management, and strengthen the system construction.
In principle, outpatients and escorts should wear masks and do a good job of hand hygiene throughout the process, and inpatients should wear masks when the condition permits, and focus on wearing masks, hand hygiene and other protective measures when going out for examination and consultation.
Medical institutions shall set up a certain number of isolation areas or transitional wards in emergency rooms, operating departments (rooms) and wards for the admission of emergency patients with no nucleic acid test results or for isolating and checking for suspicious inpatients, and shall implement single-room placement.
According to different categories of patients to refine nucleic acid testing requirements and frequency, inpatients, surgical patients and hemodialysis treatment and other patients nucleic acid testing, should be included in the preoperative discussion, consultation, room inspection and other medical activities, and test results and other related content recorded in the medical records.
, strict patient and accompanying visit management medical institutions to strengthen the management of the disease area, do a good job of patient infection monitoring, reporting, control and management.
new crown pneumonia treatment fixed-point medical institutions in principle do not visit, do not accompany.
non-targeted medical institutions are not necessary not to accompany, do not visit, to encourage conditional non-targeted medical institutions to implement unsponsed management, video and other means of visiting.
special circumstances do require escort, the escort personnel shall be relatively fixed; except for special circumstances such as examination, patients and escorts shall not enter or leave the area at will.
escorts should do a good job of health status and basic information registration, do a good job of personal protection and hand hygiene, strict restrictions on the route and scope of activities.
quality care in the sick areas to improve and safeguard the nutritional diet of patients.
nurses to enhance the active service and humane care awareness, pay attention to the patient's discomfort and claims, timely help for patients.
, do a good job of environmental cleaning and disinfection medical institutions in accordance with the "hospital air purification management norms" requirements, strengthen the ventilation management of the medical environment, conditional air disinfection can be carried out.
Strict implementation of the Medical Institutions Disinfection Technical Specifications, do a good job of cleaning and disinfection of medical equipment, appliances and articles, so that one person, one disinfect, strengthen the diagnosis and treatment environment (object surface, ground, etc.) disinfection management, for key departments of high-frequency contact with the surface of the object to increase the number of disinfection.
strict treatment of respiratory secretions, excreta and vomit of patients, and strict end-of-life disinfection.
, continue to carry out full infection prevention and control training to strengthen the "everyone is a sensory control practitioners" awareness, the implementation of full infection prevention and control training system.
training should cover all medical personnel as well as management, security, logistics (including outsourcing services) and escort personnel, training content for different job characteristics, and organize training and performance assessment.
Through continuous training, so that medical personnel master the knowledge and skills of the prevention and control of new coronavirus infection, with the awareness and ability to detect new coronary pneumonia, so that all personnel master the standard prevention requirements, the implementation of basic infection prevention and control measures, so that early detection, early reporting, early isolation, early treatment.
8. To formulate emergency plans and carry out exercises medical institutions to enhance predictability and initiative, to develop emergency plans in different situations, such as the detection of suspected cases of neo-coronary pneumonia in fever clinics, general door emergency and other medical procedures, epidemiological investigation and in-hospital screening of fever patients, in-hospital isolation, transport and end-of-life disinfection of suspected or confirmed patients.
to refine each situation, each link of the process measures, specific to the responsible departments and responsible persons, desktop exercises and on-site exercises, find loopholes short board, continuous optimization of emergency plans, improve the actual combat capability.
9, the establishment of infection prevention and control inspection and rectification mechanism medical institutions to establish infection prevention and control inspection and rectification system, regular inspection of various departments and departments, to find out the hidden dangers of combing, the establishment of problem accounts, sales to implement corrective measures.
the main person in charge of medical institutions to hold quarterly office meetings, responsible for comrades to hold monthly special meetings, specializing in the study of infection prevention and control inspection and rectification, timely problem-solving, and the results of the inspection into the department and personnel evaluation and assessment.
strengthen the full-time staffing of the management department, each department designated a person responsible for the undergraduate room sensory control work, unified acceptance of the control management department business guidance, regular self-examination and rectification.
10. Strengthen quality control and supervision and management of local health and health administrative departments to implement industry supervision responsibilities, resolutely put an end to formalism, bureaucracy, play the role of quality control centers or professional organizations, strengthen the quality control of infection prevention and control management of medical institutions within the jurisdiction, and carry out mutual inspection mechanism between medical institutions, timely detection of hidden loopholes, continuous quality improvement.
for the management is not in place or the responsibility of the problem caused by the medical institutions infected incidents, we must resolutely and seriously investigate and investigate the responsibility of the relevant personnel.
the State Council to deal with the outbreak of new coronavirus pneumonia joint prevention and control mechanism integrated group December 22, 2020