National Health Commission: To further improve the prevention and control of the new crown pneumonia epidemic in institutions that integrate medical care and nursing care

Since the outbreak of novel coronavirus pneumonia, all kinds of medical and health care institutions (medical institutions or nursing institutions that have both medical and health qualification and the ability to provide for the aged) have been actively integrated into the overall situation of prevention and control work and play a positive role in helping prevent and control the epidemic Novel coronavirus pneumonia novel coronavirus pneumonia is still a serious problem The prevention and control work is entering a critical stage In order to prevent epidemic control and prevent the risk of transmission in the medical and nursing institutions, the State Council issued the notice on the prevention and control of new crown pneumonia in the new medical association 。 Novel coronavirus pneumonia prevention and control work of the medical and health care organization has 4 requirements: first, improve the prevention and control mechanism The administrative departments of health and health at all levels shall, together with the civil affairs departments, guide the medical and nursing institutions to do a good job in epidemic prevention and control All medical and health care institutions shall earnestly implement the main responsibility, improve the work mechanism of epidemic prevention and control, timely adjust the prevention and control strategy and emergency plan according to the early prevention and control situation, clarify the work process, strengthen the emergency duty, timely report the information, and improve the prevention and control effect Second, obey the unified command of local joint defense and joint control The administrative departments of health and health at all levels shall, in accordance with the overall arrangement and requirements of the epidemic prevention and control work, make careful arrangements and give full play to the due role of medical and nursing institutions in the epidemic prevention and control work All kinds of medical and nursing institutions shall follow the principle of territorial management, standardize and safely carry out epidemic prevention and control work under the unified leadership of the local Party committee and government, under the guidance of the health administration department, civil affairs department and disease control and other professional institutions Third, we will do a good job in epidemic prevention and control The combination of medical and nursing institutions shall provide classified training and guidance to all personnel to ensure that all personnel in the institutions are well protected Novel coronavirus pneumonia prevention and control should be done according to relevant regulations and guidelines To eliminate the potential risk of cross infection in institutions, in addition to the medical institutions designated to treat medical institutions, set up fever clinics and carry out screening work in accordance with the unified deployment of the superior and local joint prevention and control mechanism, local medical and nursing institutions shall not carry out the diagnosis, treatment and screening activities of fever patients without authorization during the epidemic According to the unified deployment, we should properly arrange internal and external services as a designated medical treatment institution, a fever clinic or a combination of medical and nursing institutions to carry out screening work Fourth, strengthen the implementation of responsibilities The administrative departments of health and health at all levels shall, together with the civil affairs departments, earnestly strengthen the industry supervision, prevention and control guidance for medical and health institutions and elderly care institutions, and timely urge the rectification of the problems found Serious responsibility shall be paid for the serious consequences of epidemic spread caused by concealing, delayed reporting, ineffective prevention and control, dereliction of duty, etc in the work of epidemic prevention and control The combination of medical and nursing institutions should strictly implement the relevant deployment of epidemic prevention and control, work specifications and guidelines, and effectively guarantee the life and health safety of the elderly The novel coronavirus pneumonia joint prevention and control mechanism (leading group and command post) of all provinces, autonomous regions, municipalities directly under the central government and Xinjiang production and construction corps should be dealt with: Since the outbreak of novel coronavirus pneumonia, all kinds of medical and health care institutions (medical institutions or nursing institutions that have both medical and health qualification and the ability to provide for the aged) have been actively integrated into the overall situation of prevention and control work and play a positive role in helping prevent and control the epidemic At present, the epidemic situation is still severe and complex, and the prevention and control work has entered a critical stage In order to do a good job in the prevention and control of the epidemic situation of the medical and nursing institutions, and effectively prevent the transmission risks within the medical and nursing institutions, the following requirements are put forward: first, to improve the prevention and control mechanism, the health and health administrative departments at all levels, together with the civil affairs departments, should guide the medical and nursing institutions to do a good job in the prevention and control of the epidemic situation All medical and nursing institutions should put the life safety and physical health of the elderly first, conscientiously implement the main responsibility, improve the epidemic prevention and control mechanism, timely adjust the prevention and control strategy and emergency plan according to the early prevention and control situation, clarify the work flow, strengthen the emergency duty, timely report information as required, and improve the prevention and control effect 2、 Obey the unified command of local joint prevention and control, and the health administrative departments at all levels shall, in accordance with the overall deployment and requirements of the epidemic prevention and control work, make careful arrangements, and give full play to the due role of medical and health institutions in the epidemic prevention and control work All kinds of medical and nursing institutions, regardless of the host body, business nature, category and scale, should follow the principle of territorial management, standardize and safely carry out epidemic prevention and control work under the unified leadership of the local Party committee and government, under the guidance of the health administration department, civil affairs department, disease control and other professional institutions Adhere to classified management and control, rapid response, carefully find weak links, and achieve "early detection, early reporting, early isolation and early treatment" 3、 Do a good job in epidemic prevention and control (1) carry out publicity, education and protection Novel coronavirus pneumonia institutions should train and guide elderly workers, managers, medical staff and nursing staff to make sure that the elderly and staff members are fully aware of the scientific knowledge and prevention of new crown pneumonia Standardize cleaning and disinfection, guide relevant personnel to do scientific and reasonable protection by classification and classification, and ensure that all personnel in the organization are protected in place （2） We will increase efforts to prevent and control outbreaks within the organization Novel coronavirus pneumonia novel coronavirus novel coronavirus infection prevention and control guidelines and "prevention and control guidelines for new type coronavirus infection in nursing institutions" should be strictly followed in order to do well in the prevention and control of new crown pneumonia According to the situation of returning to the hospital and returning to work after the festival, strengthen personnel access management The elderly who need to return to the elderly care area due to special circumstances, the elderly who plan to stay in the elderly care area and the staff who return to work should be strictly isolated and closely observed according to the regulations, and can only be admitted or work after there is no abnormality If there are no conditions for isolation and observation, centralized isolation and observation can be carried out under the overall arrangement of the joint defense and joint control mechanism at the same level During the epidemic, encourage the use of information technology such as the Internet to provide family care services for the elderly It is reported that novel coronavirus pneumonia or elderly patients or workers should be reported immediately and should be disposed of accordingly If the patient does not have the ability of treatment, he shall be referred to a medical institution with the ability of treatment in a timely manner （3） Effectively eliminate the potential risk of cross infection within the organization In addition to the medical institutions designated as designated medical institutions for treatment, setting up fever outpatient clinics and carrying out screening work in accordance with the unified deployment of the superior and local joint prevention and control mechanism, the medical and maintenance combined institutions of all regions shall not carry out the diagnosis and treatment screening activities of fever patients without authorization during the epidemic period, so as to effectively eliminate the risk of cross infection in the institutions Medical institutions such as infirmary and nursing station set up in the elderly care institutions shall provide relevant medical and health services for the elderly patients who are staying in the elderly care institutions in accordance with the requirements of the notice on printing and distributing the sum issued by the general office of the former national health and Family Planning Commission (Guo Wei ban Yi Fa [2014] No 57), and shall not provide external services beyond the scope of permitted services （4） Properly arrange internal and external services According to the unified deployment, we should properly arrange internal and external services as a designated medical treatment institution, a fever clinic or a combination of medical and nursing institutions to carry out screening work According to the needs of prevention and control, we should allocate human resources reasonably, arrange work shifts scientifically, and ensure that medical personnel get necessary rest The medical staff responsible for external diagnosis, treatment and troubleshooting are no longer responsible for internal services Other medical staff provide medical and health services for the elderly in the elderly care area Novel coronavirus should be strictly controlled in accordance with the requirements of the national health and Health Committee of the general office of the national health and Health Committee on strengthening the management of fever out-patient clinics in key areas and the prevention and control of infection in medical institutions (National Health Office No 2020] 102] Communication risk 4、 To strengthen the implementation of responsibilities, the administrative departments of health and health at all levels, together with the civil affairs departments, should earnestly strengthen the industry supervision and prevention and control guidance for medical and health institutions and elderly care institutions, and timely supervise and urge the rectification of the problems found Serious responsibility shall be paid for the serious consequences of epidemic spread caused by concealing, delayed reporting, ineffective prevention and control, dereliction of duty, etc in the work of epidemic prevention and control The medical and health care institutions shall strictly implement the relevant deployment, work specifications and guidelines for epidemic prevention and control, clarify the division of responsibilities, compact the work responsibilities in accordance with the prevention and control plan and emergency plan, and effectively guarantee the life and health safety of the elderly The State Council should novel coronavirus pneumonia joint prevention and control mechanism comprehensive group February 17, 2020 editor in charge: 37