At present, there are cases of new crown pneumonia infection in many areas of Harbin City, 3 medical institutions in Harbin Have been suspended, the first hospital of Harbin Medical University has taken the initiative to assume social responsibility, the number of daily fever clinics in the first hospital of Harbin Medical University has increased from about 30 to more than 80 people, and the daily emergency department of Nangang Branch and Qunli Branch has nearly 1,000 people, with an average of 25 cases of emergency surgery per day. In the face of the increasing number of patients, the medical staff of the First Hospital of Harbin Medical University worked overtime and continuously to save the lives of every patient.
In the face of the extremely severe new crown epidemic and the pressure of medical treatment, in order to do a solid job in epidemic prevention and control and fully guarantee normal diagnosis and treatment work, the epidemic prevention and control leading group of the First Hospital of Harbin Medical University attaches great importance to it, responds quickly, carefully reads the relevant documents of the provincial and municipal epidemic prevention and control requirements, re-stipulates the standards for patient admission and treatment, does not prevaricate or refuse to accept patients, strengthens the hierarchical management of patients in wards, scientifically deploys epidemic prevention and control work, and fully guarantees fever diagnosis, pre-examination triage, nucleic acid collection room, buffer ward, In the relevant key tasks such as epidemic prevention and control and medical treatment in all emergency departments and departments, the proportion of inpatient surgery has not decreased but has increased.
Shoulder the burden of courage to ensure the needs of patients for medical treatment
Emergency department as the first pass of epidemic prevention and control, while doing a good job in epidemic prevention and control, in the face of patient mobility, the characteristics of acute and critical illness, in order to ensure that patients receive timely treatment, the emergency room of the first hospital of Harbin Medical University is strict, pragmatic and detailed to implement the relevant requirements of the hospital.
In order to ensure that acute and critically ill patients who cannot investigate and confirm the epidemiological history or fever can be given first aid and placement at the first time, the first hospital of Harbin Medical University strictly implements the responsibility system of first diagnosis, and sets up an emergency isolation and rescue room in the emergency department, regardless of whether the patient has nucleic acid results, it can ensure that the patient can be treated at the first time.
The emergency room separately sets up an isolated patient rescue area, formulates an emergency classification system for triage nurses, determines the emergency classification according to the severity of the patient's condition, the red zone patients are immediately rescued, the green zone patients are waiting for treatment, and the yellow area clinic implements one doctor and one patient. The emergency negative pressure DSA operating room can ensure that patients with acute vascular disease can complete emergency surgery as soon as they are diagnosed, without waiting for the nucleic acid test results, and win the golden rescue time for patients.
In order to strengthen the "sentinel" role of fever diagnosis and pre-examination triage, the First Hospital of Harbin Medical University optimized the fever diagnosis and treatment process, effectively improving the efficiency of investigation while ensuring safety and accurate investigation. Fever clinics increase the number of pediatric visiting doctors, improve the level of consultation, and strengthen the treatment of patients and accompanying flow and management, cautious and always vigilant.
Although the number of fever clinics has doubled, the number of patients who stay in the patient is single, single, strictly implements the disinfection of the number of people after CT examination, hand hygiene, terminal disinfection after the patient leaves, and other disinfection and isolation measures are strictly implemented in place. The full-time staff of the Infection Monitoring Department conducts one-on-one assessment of the doctors, nurses, and workers in the fever clinic and buffer ward to put on and take off protective equipment, and comprehensively strengthen safety awareness and safety behavior.
In the current critical period of epidemic prevention and control, the first hospital of Harbin Medical University has more than 3,000 hospitalized patients and more than 300 daily surgeries. In order to ensure the safety of patients' medical treatment and complete the task of treatment with high quality, the First Hospital of Harbin Medical University will always tighten the string of epidemic prevention and control and strictly implement the prevention and control work of the hospital.
Be cautious and always do a good job in epidemic prevention and control
The hospital organized a special training on "Key Points for Prevention and Control of Hospital Infection During the Epidemic Period", strengthened the risk awareness and safety culture of all staff in the hospital in the face of the epidemic, explained from four aspects: personnel health monitoring, self-protection strategies, cleaning and disinfection points and emergency treatment measures, and strengthened the implementation of various measures for health management and disinfection and isolation.
The First Hospital of Harbin Medical University conducted online training on the topics of "Key Points of Hospital Infection Prevention and Control of Cleaners During the Epidemic Period" and "Knowledge of Epidemic Prevention and Control of Security Personnel" for third-party personnel entering the hospital: cleaners and security guards, and assessed the content of the training. The key contents involved are personnel health management, disinfectant configuration requirements, standard prevention, hand hygiene five timing, occupational exposure treatment process, etc.
For high-risk departments of the epidemic: such as fever clinics, buffer wards, emergency rooms, nucleic acid collection rooms, etc., carry out on-site risk investigation of hospital infection management, supervise, re-emphasize the key points and weak points of hospital infection prevention and control, and truly implement "early, fast, accurate, strict, detailed and realistic" into all aspects of the whole process of epidemic prevention and control, to ensure that the responsibility is to the person and implemented in place.
The First Hospital of Harbin Medical University strictly grasps the management of medical students, and conducts on-site guidance and inspection of the epidemic prevention and control work of student apartments to ensure the safety of students. Strengthen the implementation of systems such as the "Management System for Express Delivery Collection During the Epidemic Period" and the "System for Disinfection of Imported Equipment and Articles in Overseas and Epidemic Areas", and weave a well-established normalized epidemic prevention and control network to ensure the safety of doctors and patients.
All departments of the hospital immediately carried out self-inspection and self-examination in accordance with the "Assessment Standards for Hospital Sense During the Epidemic Period" and conscientiously checked the risk points. Completed the desktop deduction of the "Emergency Plan for Personnel With Positive Nucleic Acid Screening for the Emergence of New Coronavirus Nucleic Acid". The First Hospital of Harbin Medical University publicized to the general public through the media such as news night flights, the characteristics of the pathogenology of the new coronavirus strain in this round of science popularization and how to do a good job in daily personal protection measures.
Under the unified deployment of the hospital leaders, we will resolutely overcome the paralyzing thinking, tighten the string of epidemic prevention and control at all times, and do a solid job in the prevention and control of the new crown pneumonia epidemic in accordance with "scientific division, rapid and accurate", ensure the quality and safety of medical care, and promote the high-quality development of hospitals under the normalization of the epidemic.