In recent days, a large number of people with mild and asymptomatic COVID-19 infections have entered temporary centralized isolation and treatment points for isolation and treatment. What is the situation within these points? Where do healthcare workers come from? What kind of care do patients receive inside?
Text | Shewen
At today's press conference on epidemic prevention and control in Shanghai (136th), Wu Jinglei, head of the medical treatment team of the Municipal Epidemic Prevention and Control Leading Group and director of the Municipal Health Commission, said that the current round of epidemic has found more confirmed cases and asymptomatic infected people, especially in recent days, the daily increase in positive infections has increased at a relatively fast rate. We have accelerated the construction of centralized isolation and treatment sites, further improved the capacity of admission and treatment, and strived to achieve the "full collection" of positive infections.
As of March 27, in addition to the original designated hospitals such as the Municipal Public Health Clinical Center, six reserve designated hospitals have been activated at the Shanghai and district levels, 2 gymnasiums, 1 talent apartment, 1 large exhibition hall, and one in Chongming as a centralized isolation and treatment place.
World Expo Exhibition and Convention Center Temporary Centralized Quarantine and Treatment Point (March 27 screen) Source: Look at the news
Wu Jinglei said that in order to strengthen medical support for centralized isolation and treatment sites, the relevant municipal hospitals have been coordinated to send medical teams to pair each isolation place. For example, Ruijin Hospital supports Jiahe Xinyuan and Jiading District Gymnasium, Zhongshan Hospital supports Minhang District Gymnasium, Renji Hospital, Shijiu Hospital, Shiyi Hospital, Tongji Hospital, etc. support Shanghai World Expo Exhibition and Convention Center, and Xinhua Hospital supports a temporary centralized isolation point in Chongming. Reserves from other hospitals have also been assembled and ready to go out.
The northern branch of Ruijin Hospital is temporarily centralized isolation and treatment point
In recent days, a large number of people with mild and asymptomatic COVID-19 infections have entered temporary centralized isolation and treatment points for isolation and treatment.
What is the situation within these points? Where do healthcare workers come from? What kind of care do patients receive inside?
A large number of patients have been admitted to the venue's remodeled treatment site
The Expo Exhibition and Convention Center on the banks of the Huangpu River, once a landmark building of the Shanghai World Expo, has now become a temporary centralized isolation and treatment point, and the World Expo Exhibition center is divided into three areas, and 6,000 beds are planned.
As of March 26, about 2,500 beds in the H2 area of the Expo Exhibition center have been fully filled. The H1 area, which began feeding patients at 4 p.m. on March 27, is capable of accommodating about 3,000 people. The last H4 area, which will begin admitting patients on 29 March, is expected to accommodate about 1,400 people.
Chen Erzhen, vice president of Ruijin Hospital and commander-in-chief of the temporary treatment point of the Expo Exhibition Center, introduced that on March 26, the medical team of Renji Hospital took the lead in accepting patients and fought until the evening, and on March 27, the medical team of Tongji Hospital and the medical team of Shanghai Ninth People's Hospital began to treat patients.
On March 25, a total of 840 medical staff from Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, The Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Tongji Hospital Affiliated to Tongji University, and First People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine quickly assembled and rushed to the Temporary Centralized Isolation and Treatment Point of the Expo Exhibition and Convention Center to carry out rescue and treatment work.
Wang Bo (pseudonym), 67, was diagnosed with an asymptomatic COVID-19 infection and is being treated at a temporary centralized isolation and treatment point at the Expo Exhibition and Convention Center
By the evening of March 27, more than 2,500 patients had been admitted to the ward managed by The Medical Care of Renji Hospital. "Judging from the morning rounds, most of the patients are emotionally stable and have a better mentality." Introduction of the person in charge.
Each patient who enters the ward receives a "Letter of Comrades" from the medical team of Renji Hospital, with short and encouraging words written on the back, and on the back of the "Letter of Comrades- is a guide to fighting the "epidemic". This is an isolation tip carefully prepared by Renji Hospital, reminding patients of daily temperature measurement, carrying necessary daily necessities, and cooperating with nursing treatment to stay at the isolation point.
Ding Li, a nephrologist at Renji Hospital, introduced that before each shift of medical staff enter the ward, they will receive special counseling from the psychologist, "The psychologist will share with us some tips for adjusting emotions, when we enter the ward to check the room, if we find that the patient's mood fluctuates, it can help everyone relieve anxiety in time."
Medical team of Renji Hospital
The medical team designed a "science wall" in the ward to teach everyone how to protect the cervical spine and tell gout patients what to eat healthier. In addition, the medical team of Renji Hospital has also set up an activity place where the doctors can lead the patients to do exercises and carry out activities to enhance immunity; in addition to three meals a day, the ward has also prepared small snacks. The treatment point will also start a radio station to disseminate epidemic prevention and mental health knowledge, and broadcast cross-talk, sketches and music programs.
The medical team of Tongji Hospital affiliated to Tongji University enters the treatment point (Photo by Wang Xiaofei of the Central Broadcasting Network)
The 221 medical team of Tongji Hospital affiliated to Tongji University consists of 41 doctors, 158 nurses, 2 infection control specialists, 1 pharmacist, 12 administrative staff and 7 logistics personnel. Liang Aibin, the leader of the medical team of Tongji Hospital, the general secretary of the provisional party branch of the medical team, and the vice president of Tongji Hospital, introduced that Tongji Hospital will be responsible for the treatment of about 1,600 mild or asymptomatic patients in the temporary centralized isolation and treatment point of the Expo Exhibition Hall.
At 16:30 on March 27, after 33 hours of intense preparation, 53 medical staff from various departments of the hospital entered the H1 area of the temporary centralized isolation and treatment point of the Expo Exhibition and Exhibition Hall and began to receive the first batch of mild or asymptomatic patients. Eight doctors, including xiao Wuqiang of the hospital's medical team and xiao Wuqiang of the emergency medicine department, And 45 nurses, including Zhang Peiying, chief nurse of the department of internal medicine, and Liu Jian, nurse of the emergency medicine department, entered the isolation point as the first batch of medical staff to receive patients.
Of the 148 medical staff at the city's first hospital, 14 are veterans who rushed to Wuhan two years ago and worked at Wuhan Leishenshan Hospital. Wang Hun, the leader of the medical team and vice president of the first hospital in the city, introduced that the medical team consisted of 38 doctors, 96 nurses and 14 hospital sense and logistics personnel, and the team members covered 27 departments such as emergency critical illness, respiratory medicine, nephrology, radiology, obstetrics and gynecology, ophthalmology, and endocrinology.
The youngest nurse of the city's medical team was born in 1998
According to reports, before the departure of the medical team, a hospital in the city made full preparations in material preparation, personnel allocation, emergency plan, and carried out a series of care and care measures such as physical examination, first aid training, and psychological support for all medical team members. In addition, with reference to the experience of supporting Wuhan in 2020, the hospital considers the occasional psychological discomfort that may occur for all kinds of personnel in the temporary isolation and treatment point, and specially equipped with medical psychology and clinical pharmacy experts to cast a solid "health armor" for everyone with professional psychological intervention and clinical drug knowledge.
Minhang Stadium treatment site is preparing scene source on the evening of March 23: Look at the news
At 8:00 p.m. on March 23, the temporary practice site (Minhang Gymnasium) at No. 288 Xinzhen Road, Zhongshan Hospital was opened to receive infected people. According to reports, Zhongshan Hospital and Minhang District Central Hospital (Minhang Branch of Zhongshan Hospital), a total of 40 doctors, 200 nurses, 6 infection control experts entered the temporary practice site to carry out work, and the reserve force of the second echelon is sufficient.
According to the person in charge, at present, logistics support such as catering (including halal) is being improved one by one, and cultural and sports supplies such as chess and yoga mats have also been prepared. For some of the management challenges posed by the temporary renovation of the stadium, the medical staff is actively working hard to continuously improve the quality.
General hospitals upgrade their hospital sense control capabilities to admit COVID-19 patients
Since the Omiljung strain is very contagious, in the reserve medical institutions put into use this time, the hospital needs to be transformed from an ordinary general hospital to a hospital that can admit patients with infectious diseases, and the hospital must complete a huge hardware and software transformation in a very short period of time.
On March 26, a reporter from Xinhua News Agency visited the northern branch of Ruijin Hospital, which has been remodeled as a treatment point for people with mild and asymptomatic COVID-19.
Before being discharged from the hospital, a patient specially hand-wrote a letter of thanks to Yang Liu, head nurse of the fourth ward (north) of the oncology department of Ruijin Hospital
Zhao Ren, vice president of Ruijin Hospital, introduced that after the reconstruction of the North Branch of Ruijin Hospital, the number of beds increased to nearly 2,000. The hospital is grouped on the basis of the original medical team. He introduced that in the process of converting the function of the hospital, one of the most important tasks is to upgrade the requirements of the hospital sense, and turn the original ordinary hospital into a hospital that meets the needs of infectious disease hospital infection prevention and control, and the challenge in the reconstruction is still very large.
Since the beginning of March, Zhongshan Hospital affiliated to Fudan University has taken over and participated in the centralized isolation and treatment of the temporary practice site of the Shanghai Public Health Center and assisted in the work of the centralized isolation site in Minhang.
After an emergency construction layout, while construction, maintenance and operation, the temporary practice site had the basic conditions for the admission and treatment of new crown patients on March 6, and the first confirmed case of new crown patients was admitted on the morning of March 11, and it was fully operational on March 15.
Yan Zuoqin, vice president of Zhongshan Hospital, introduced that the temporary practice site is a supplement to the Shanghai Public Health Center in Jinshan, which is organized by 10 hospitals in the city and dispatched 315 medical team members to monitor and care for infected people at the temporary practice point. Zhongshan Hospital has 35 medical team members stationed at the practice site, including doctors, nurses and infection control personnel.
The temporary practice site has treated nearly 1500 infected people, most of whom are asymptomatic or mild, and there are infected people of all ages, involving the elderly group, most of whom are accompanied by one or more underlying diseases, such as hypertension and diabetes. "As a temporary practice site, it is hosted by a team extended from Kingsoft, and the team of experts is very experienced, undertaking both medical and general management. Zhongshan Hospital is responsible for the logistics of the practice site, as well as nucleic acid detection and imaging medical technology of infected people. Infected people are treated here, and patients and families can really rest assured! ”
In the temporary practice center of Shanghai Public Health Center, there are also three TCM medical teams, namely Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine (hereinafter referred to as "Yueyang Hospital"), and Shanghai Municipal Hospital of Traditional Chinese Medicine.
The Baoshan Branch of Huashan Hospital affiliated to Fudan University has been admitted as a reserve medical institution for treatment of infected patients. Ma Xin, president of the centralized isolation and treatment center of The Baoshan Branch of Huashan Hospital, was responsible for the management of the Fang Cabin Hospital in Wuhan in 2020. He introduced that the treatment point officially accepted positive infected people from March 20, and the vast majority of those admitted were asymptomatic infected people, and a small number of patients were mild.
At present, there are more than 300 front-line medical workers, and the number is still increasing. In addition, there are security personnel, logistics personnel, etc. Medical staff are experienced, and nearly half of them have supported the fight against the epidemic in Wuhan. Because there are sufficient materials and adequate personnel preparation, the overall order is more orderly and not panicked.
Ma Xin and colleagues are in the Baoshan Branch of Huashan Hospital
Ma Xin introduced that in the treatment point, for key groups, nursing staff will pay close attention, on the one hand, to take care of their daily needs; on the other hand, to observe their psychological state, and communicate with the family outside the ward. The patients have also opened a mutual assistance model, the former neighbors have continued the daily mutual help and friendship, and some young people will take the initiative to take care of some older patients. "If children come to the isolation point with their parents, we also encourage them to be in the same room, which is also a kind of spiritual comfort." Some of the children were young but their parents were not there, so we arranged them under our nurse's desk, right under the eyes of our doctors and nurses. At present, the team of psychotherapists and psychiatrists has also been stationed, and psychological counseling will be carried out for patients in the future. ”
Source: Xinhua News Agency Shangguan News Oriental Network Look at the news