Notice on further doing a good job in the prevention and control of infection in medical institutions under normalized epidemic prevention and control

joint defense and control mechanism of the United States (2020) No. 269Provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps to deal with the new corona pneumonia epidemic joint prevention and control mechanism (leadership group, headquarters):in order to implement the spirit of the Fifth Plenary Session of the 19th Central Committee of the Communist Party of China, further strengthen the prevention and control of infection in medical institutions, effectively reduce the risk of transmission of the new coronavirus in medical institutions, and effectively do a good job of normal outbreak prevention and control work, combined The new situation and new problems facing medical institutions are now put forward the following requirements for infection prevention and control work in medical institutions: 1, attach great importance to the prevention and control of infection in medical institutionsto do a good job in the prevention and control of infection in medical institutions, is the implementation of the CPC Central Committee, the State Council on normal epidemic prevention and control measures to ensure the quality and safety of medical care, to safeguard the health of the people's inevitable requirements. 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 red-line thinking on infection prevention and control, find short board loopholes in infection prevention and control, and grasp all infection prevention and control measures. All localities 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 required funds and materials in place in a timely manner, strengthen the overall planning of work, must not have the slightest slack and luck, strictly implement the foreign defense input, internal defense rebound measures.Second, strengthen the internal management of medical institutionsadhere to the "people, things with 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. All 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 health codes 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. For patients from medium- and high-risk areas, both doctors and patients should do a good job of isolation protection, and may not reject patients in high-risk areas. Strengthen the management of foreign personnel and articles such as medical institutions canteens and express takeaways, maintenance, logistics and distribution, and carry out environmental testing when necessary.Third, improve the appointment and pre-screening tri-diagnosismedical institutions should vigorously promote non-emergency patient appointments, the implementation of appointment registration, appointment examination and appointment treatment, reasonable allocation of visiting time, 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. Medical institutions are encouraged to carry out online pre-screening misdiagnosis to reduce the pressure of on-site pre-screening and misdiagnosis, to set up pre-screening sub-diagnosis points in the door emergency norms, to arrange for 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-corona pneumonia and epidemiological history, and implement the first diagnosis responsibility system. For fever patients and patients found in pre-screening misdiagnosis who cannot be excluded from infectious diseases such as neo-coronary pneumonia, a special person shall be arranged to guide them to the fever clinic according to the designated route.Fourth, optimize the medical management systemmedical 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, inpatients should wear masks when the condition permits, go out to check, check the room consultation focus on wearing masks, hand hygiene and other protective measures. Medical institutions shall set up a certain number of isolation areas or transitional wards in emergency rescue rooms, operating departments (rooms) and wards for the admission of emergency patients with no nucleic acid test results or for isolating and screening 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 record.V. Strict management of patients and their escort visitsmedical institutions should strengthen the management of disease areas and do a good job in monitoring, reporting, controlling and managing patient infection. The fixed-point medical institutions for the treatment of new crown pneumonia do not visit or accompany in principle. 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. If 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, personal protection and hand hygiene, strict restrictions on the route and scope of activities. The area provides quality care to improve and safeguard the nutritional diet of patients. Nurses enhance the sense of active service and humane care, pay attention to the patient's discomfort and appeal, and provide timely help to patients.Sixth, do a good job of environmental cleaning and disinfectionmedical institutions in accordance with the "hospital air purification management norms" requirements, strengthen the ventilation management of the medical environment, conditional air disinfection. Strict implementation of the Medical Institutions Disinfection Technical Specification, do a good job of cleaning and disinfection of medical equipment, appliances and articles, so that one person, one disinfect, strengthen the disinfection management of the medical environment (object surface, ground, etc.), 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, strict end-of-life disinfection.Seven, continue to carry out full infection prevention and control trainingstrengthen the "everyone is a sensory control practitioners" awareness, the implementation of full infection prevention and control training system. The training should cover all medical personnel as well as management, security, logistics (including outsourcing services) and escorts, the training content is set according to the characteristics of different positions, and the organization of 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, early detection, early reporting, early isolation, early treatment.8. Develop emergency plans and carry out exercisesMedical institutions should enhance predictability and initiative, formulate emergency plans in different situations, such as the detection of suspected cases of neo-coronary pneumonia in fever clinics, general emergency departments and other medical procedures, epidemiological investigation and in-hospital screening of fever patients, in-hospital isolation, evacuation 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, to carry out desktop exercises and on-site exercises, find loopholes short board, continuous optimization of emergency plans, improve the actual combat capability.Nine, the establishment of infection prevention and control inspection and rectification mechanismmedical 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, the implementation of rectification measures. The main person in charge of medical institutions should hold quarterly office meetings, responsible for comrades to hold monthly special meetings, specializing in the prevention and control of infection inspection and rectification, timely problem-solving, and the results of 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.Strengthen quality control and supervision and managementLocal health and health administrative departments should implement the responsibility of industry supervision, resolutely put an end to formalism, bureaucracy, play the role of quality control center or professional organization, 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 should resolutely and seriously investigate and investigate the responsibility of the relevant personnel.The Comprehensive Unit of the Joint Prevention and Control Mechanism of the State Council to Respond to the Outbreak of New Coronavirus PneumoniaDecember 22, 2020(Health and Health Commission website)