【Tianyou War Epidemic】Under the epidemic situation, the ICU was quickly transformed into a "designated ward", and Tianyou Hospital built a solid safety barrier

Every day is different from the medical dynamics, health science, doctor-patient humanities

The ICU is the place where patients and families are given the last glimmer of hope. Under the epidemic situation, Tianyou Hospital transformed the ICU into a "designated ward" in the hospital on April 20, assuming the "bridgehead" of anti-epidemic, providing a guarantee for "early detection, early isolation, early diagnosis and treatment", and alleviating the pressure on designated hospitals in the region. Through the major adjustment of the ward and the integration of the medical staff of the whole hospital, the zoning management of negative and positive patients in the hospital has been basically realized, and the in-depth sanitize of the whole hospital has been carried out, and the situation in the hospital has improved significantly. In May, the momentum of the spread of the epidemic has been curbed, and there have been no new cases in the hospital for many consecutive days, achieving "dynamic clearance" in the hospital.

Move at your behest

The medical team took the initiative to ask for a position

Entering April, the epidemic situation is becoming more and more severe. Puxi sealed and controlled, and positive cases began to be found in the hospital, and during the period of the most scarce medical resources in the city, it was impossible to transfer positive patients to designated hospitals in time, which brought great risks to the operation of the hospital. In this context, the hospital decided to actively carry out "self-help". On April 20, the ICU was officially transformed into a "designated ward" in the hospital, and in the afternoon of the same day, Director Zhou Hongmei and Chief Nurse Yang Yun led the medical staff to take the initiative to insist on staying on the spot, began to adjust the layout, and began to treat positive patients on the 21st.

"In the afternoon, we just attended the online hospital weekly meeting, and we received an urgent notice that the ICU would complete the transformation of the ward in the shortest possible time. I was the first to communicate with the nursing sisters to understand their ideas and wishes, and I was very touched that everyone expressed their intention to stick to the situation and overcome the difficulties together. Chief Nurse Yang Yun said that everyone's "I stay" words are like a shot in the arm, allowing us to shoulder this special responsibility without hesitation. Except for one colleague who was still breastfeeding and went to the CPR ward to support, the rest of the sisters were all transformed into warriors in the hospital's positive ward.

If you want to convert the ICU into a "designated ward" to treat positive patients as soon as possible, how to transfer the original 10 patients to the corresponding ward has become a big problem. Under the unified coordination of the hospital operation office, the section chief and the head nurse actively communicate patiently and carefully with the family and patients, and contact the brother departments to prepare for the handover. Time is tight and the task is heavy, Liu Weilin, director of the Nursing Department, Lu Huanqing, director of the Infection Control Office, Haiyan Nurse Of the First Department of Neurology, and Hu Yingying, chief nurse of the operating room, all went to the scene for guidance and support. At 9:30 p.m. on the same day, the original patients were safely transferred to the intensive care unit of the corresponding ward. After the ward was vacated, the medical staff took matters into their own hands to empty the instruments, bedside tables, bed sheets and other items, and conducted a comprehensive sanitize of the ward and the common area, and everything was ready, it was more than 1 a.m. the next day.

On the morning of April 21, all the medical staff completed the training on wearing and taking off protective clothing, the division of the three districts, the diagnosis and treatment of positive patients and the precautions for transfer, and once again made sanitize the ward. At 1 p.m., the patients began to be admitted smoothly. Chief Nurse Yang Yun introduced that it is indeed not easy to move in two days of nervous movement, but it can run normally so quickly, and it is worth it for everyone to be tired.

Shimmer into a torch

The nurse sisters work together for the patient

The reception work has been completed, just the beginning, diagnosis, treatment, transport and protection are new challenges. According to Chief Nurse Yang Yun, more than 10 positive patients were admitted and treated in two days, and most of them were patients with underlying diseases, which not only needed to do a good job in the treatment of the new crown, but also needed to be timely observed, treated and medicated to ensure that epidemic prevention and diagnosis and treatment of basic diseases were not wrong.

Every day after the shift, everyone came to the department early, put on protective clothing in advance, and made various preparations. After entering the ward, it is necessary to complete the nursing work such as patient examination, infusion, and drug distribution, and report to the doctor on duty. Thick protective clothing and frequent fogging goggles add great difficulty to nursing work such as injections and infusions. Because of wearing protective clothing, everyone is willing to endure less food and drink for 6 hours a day, and try not to go to the toilet. Nurses wear protective clothing to pat patients on their backs, suck up sputum, clean up defecation, assist in transporting patients, and clean sanitize again and again, often soaking sweat all over their bodies.

On the night of April 23, two nurses, Ji Xiangchen and Liu Shaokun, received a notice to transfer five positive patients to Pudong Designated Hospital for continued treatment. The average age of these elderly people is over 85 years old, very reluctant to transfer, the two of them communicated with the elderly and their families one by one, detailed the situation of the designated hospital, and won the cooperation of the other party until more than 11 o'clock in the evening, with the support of the competent department to the designated hospital.

Liu Shaokun recalled that when she safely sent the elderly to the designated hospital, an aunt asked: "Will you remember me in the future?" She said, "Definitely!" "Looking at the back of Grandma being sent to the designated hospital, there is a lot of reluctance in my heart, and I can't calm down for a long time."

When the two nurses returned to Tianyou Hospital, it was more than 3 a.m., and when they entered the department, they sat paralyzed on the ground for a long time before they eased up, took off all the protective equipment on their bodies, and the clothes inside were all soaked.

Experts stationed

In the face of danger, he was ordered to live up to the expectations of the people and fulfill their duties

Just when the ICU was nervous about admitting patients, Director Zhou Hongmei was about to leave because she received the task of helping the brothers hospital. On April 23, the director of the Department of Respiratory Medicine, Jin, was appointed to lead Zhang Yuepeng and other doctors from the Department of Respiratory Medicine to the ICU. Until now, she has led 6 doctors and 21 nurses to eat and live in the ward.

Director Jin is a well-known respiratory medicine expert in China, and also an expert who has led the team to participate in the frontline epidemic prevention work in three cities, and has rich practical experience. Under her leadership, in full accordance with the requirements of the "infectious disease room", the "three districts and two passages" of the department were redivided, and the setting of the cleaning area, buffer zone and pollution area was completed, and the sanitize was insisted on 3-5 times a day. In order to promote the experience, on April 27, Director Jin gave a special training on sanitize for the whole hospital through an online conference. After the meeting, all departments of the hospital immediately responded to the call, all hands-on, in accordance with the requirements and standards of the sanitize, once again carried out a comprehensive and thorough sanitize of the areas in charge, so as not to leave blind corners and blind spots.

Director Jin should also coordinate the management of positive patients and respiratory medicine in the six wards, and guide the sixth, seventh and eighth wards to carry out epidemic prevention work. Under the guidance of Director Jin, the strict prevention and control and deep sanitize in just a few days quickly curbed the momentum of the spread of the epidemic. By May 7, there were no new cases in the hospital, and "dynamic clearance" had been achieved.

Li Xiangshun, a former respiratory physician, signed up for the Lianliang Road Cabin Medical Team in Putuo District on April 2. At 4 a.m. on April 24, Dr. Li Xiangshun, who had just finished his night shift, was quickly recalled to the hospital.

"After rushing back to the hospital that day, I entered the ICU before I had time to rest and continue working." Dr. Li Xiangshun, who has experience in the square cabin, said that although it is very hard to go to the two anti-epidemic "battlefields" continuously, it is a test for himself to do more for the hospital at a critical moment and a reflection of the value of a doctor.

"Director Jin does everything himself, not only taking the doctor on a round every day, proposing a diagnosis and treatment plan for each patient, but also guiding the epidemic prevention work in multiple wards." Li Xiangshun introduced that most of the patients in the ICU ward are critically ill, and the condition changes rapidly, and it is necessary to closely observe and adjust the treatment plan at any time. After putting on protective clothing, goggles and protective masks, even a very simple physical examination of the patient has become difficult, but everyone still does everything rigorously and seriously.

Director Jin said: "Although the medical staff is under a lot of pressure, they have won the trust and understanding of their families, and they can make patients turn out of the hospital or smoothly transfer back to the brother department, and watching the situation in the hospital getting better and better is the greatest comfort." ”

ICU's work has also been praised and affirmed by the leaders and colleagues of the hospital. Dean Cai Jianfei has praised it at several online weekly meetings. He praised: "The whole hospital should pay tribute to the medical staff of the ICU and the six wards, who silently undertake the same mission and responsibilities as the 'designated hospital', and their contribution to the hospital's fight against the epidemic is the most direct and the largest." ”

The epidemic situation is not dispersed, and the collection of clothes is not understood. The epidemic is not over, and there may even be a recurrence, and the achievements of Tianyou Hospital in achieving "dynamic clearance" are not easy to come by, which is the result of the joint struggle of Tianyou people represented by the ICU medical team. In order to maintain the results of the battle and prevent the rebound of the epidemic, all the medical staff of Tianyou Hospital are still fighting in their respective posts, building a solid barrier for patients with fearless professionalism and excellent professional skills.

Shanghai Tianyou Hospital News Center

Author: Xiao Tian/Xue Xue

Editor: Xue Xue

Image: ICU

Review: Khan Qing

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