Hospital infection prevention and control is the bottom line to prevent the spread of the epidemic. In view of the current epidemic prevention and control situation, medical and health institutions at all levels in our province have compacted the responsibility for epidemic prevention and control at all levels, strictly implemented the pre-examination and triage system, strengthened the management of outpatient clinics, emergency departments, and inpatient wards, strictly and carefully implemented various hospital infection prevention and control measures, given full play to the early warning role of sentinel points, improved the ability of prevention and control and treatment, and made every effort to protect the safety and health of the people.
Online and offline efforts are in unison
Optimize the diagnosis and treatment process
"Please wear a mask and take the initiative to show your health code and itinerary code." According to the notice of the Yuncheng City COVID-19 Epidemic Prevention and Control Command, personnel with a history of living outside the province in the past 14 days need to hold a negative nucleic acid test certificate within 48 hours before entering the hospital. "On August 5, at the entrance and exit of the outpatient building of Yuncheng City Central Hospital, the staff in charge of security reminded everyone to do a good job of personal protection while strictly checking whether there were people with a history of living in medium- and high-risk areas.
"At present, the situation of prevention and control of the new crown pneumonia epidemic is grim, and our hospital, as the main battlefield against the epidemic, is the last line of defense for the prevention and control of the epidemic in Yuncheng, and the responsibility is as heavy as Mount Tai." Pan Xinli, deputy secretary of the party committee and president of Yuncheng Central Hospital, told reporters that the whole hospital fully recognizes the seriousness and urgency of the current epidemic prevention and control situation, tightens the string of epidemic prevention and control at all times, and resolutely controls the hospital's epidemic prevention and control.
Yuncheng Central Hospital undertakes the outpatient diagnosis and treatment of most of the fever patients in the city, in order to strictly prevent and strictly control the high-traffic population of fever clinics, the central hospital has launched a "cloud queuing" service, pushing the waiting situation and calling number to patients through WeChat, which is convenient for patients to understand the estimated waiting time, queue queuing and real-time calling situation in real time, ensuring that the waiting area and the consultation room are one room and one patient, avoiding the gathering of waiting and treating patients.
The hospital has a scientific layout and reasonable division, and divides and isolates different types of fever patients, and realizes the complete isolation of patients from fever diagnosis pre-examination triage, waiting for diagnosis to fever diagnosis. At the same time, it minimizes the time spent in the fever clinic for non-patients, continuously strengthens the cooperation between medical examinations and films, and promises to complete diagnosis and treatment in up to one hour.
"Details determine success or failure, any omission in details will cause unpredictable consequences, and the hospital's sense of work does not allow the slightest slackness." Niu Zhaofeng, director of the Medical Affairs Department, said that Yuncheng Central Hospital has taken precise measures from three aspects: information support, scientific layout and departmental collaboration, solved the core problems of epidemic prevention and control, and fought the battle of epidemic prevention and control.
The pass was guarded in advance
Exert the power of traditional Chinese medicine
At 8:00 a.m. on August 6, at the entrance of Building 1 of Xinzhou Traditional Chinese Medicine Hospital, patients who came to the hospital were scanning and showing the itinerary code and health code under the guidance of the staff, and entered the hospital through the automatic infrared temperature measurement door.
Entering the hall of Building 1, the smell of Chinese medicine came to the nose. Fan Shaohua, director of the nursing department of Xinzhou Traditional Chinese Medicine Hospital, told reporters that the air disinfection of traditional Chinese medicine aromatherapy is being carried out here, and its ingredients include 8 flavors of traditional Chinese medicine such as mugwort, Sichuan root, and Cangshu. "About 30 grams can be smoked for half an hour to an hour." We have set up such smoking points in Building 1, Building 2, Building 3, Emergency Building, and Fever Clinic to give full play to the characteristic role of traditional Chinese medicine in epidemic prevention and control. "Since the prevention and control of the epidemic, the hospital has donated 140,000 Chinese medicine epidemic prevention sachets to the society.
At the pre-screening triage desk, nurse Zhang Jinyu is once again checking the health code, itinerary code and body temperature measurement of patients and their families who come to the clinic.
One more inspection, one more guarantee. Fan Shaohua said that after the pre-examination triage desk for the examination of the health code, the itinerary code and the measurement of body temperature, there will be nurses with abnormal body temperature who will guide them to the fever clinic through a special channel, and conduct routine examinations in the fever clinic, mainly blood routines, chest CT and nucleic acid testing, and nucleic acid testing will produce results within 4 to 6 hours. While waiting for the results of nucleic acid testing, patients must be observed in the observation room and strictly implement closed-loop management.
"Advance of the pass", "Guarded by troops", "On duty day and night"... In view of the recent rebound of the epidemic in some parts of The country, Xinzhou Traditional Chinese Medicine Hospital has remobilized, redeployed and strengthened every link and step of prevention and control from epidemic prevention and control to process design, from pre-plan setting to standardized prevention and control.
Feng Ziyi, vice president of Xinzhou Traditional Chinese Medicine Hospital, said that the hospital set up fever clinics in strict accordance with the basic requirements of "three districts and two channels", strictly implemented the closed-loop management requirements for fever patients, strengthened the training of fever clinic medical staff, implemented the first diagnosis responsibility system, ensured that a suspicious patient was not missed, and adhered to the "zero tolerance of hospital sense". At the same time, on the basis of the original prevention and control measures, all staff are organized to conduct nucleic acid testing, and the medical personnel of the key population mainly include pre-examination triage, emergency department, nucleic acid collection point, laboratory department, and CT room are tested once a week, and the medical staff who are stationed at the fever clinic and stationed at the railway station to perform epidemic prevention and control tasks are required to conduct nucleic acid testing once every 3 days. At the same time, the detailed management of returnees from medium- and high-risk areas in China will be carried out.
Hospital infection prevention and control is a "key part" of epidemic prevention and control. Feng Ziyi said that Xinzhou Traditional Chinese Medicine Hospital will effectively open up the "last kilometer" of implementation, adhere to the nucleic acid testing "every yang must be reported" and "every yang must be separated", "timely report to the epidemic prevention and control office for those who come to the hospital in medium and high-risk areas, implement one-on-one nucleic acid testing for returnees from low-risk areas in the jurisdiction of medium and high-risk areas, isolate at home and follow up regularly", more severe, closer, early whistle, early warning.
Civil air defense technology and material defense are equally important
Prevent the outbreak of the epidemic
On August 7, Cao De, head of the epidemic prevention and control leading group of the Sixth People's Hospital of Datong City, told reporters by phone that the hospital further strengthened the prevention and control of hospital infection and carried out corresponding drills to evaluate the results of the drills to ensure that there are no dead ends in the prevention and control work. All inpatients adopt closed management, refuse family visits, and if special circumstances require companionship, only one family member will be allowed to accompany them after nucleic acid testing. All medical equipment, appliances and items in the department should be "disinfected by one person, one use and one disinfection", the frequent disinfection frequency of high-frequency items and environments should be increased, the diagnosis and treatment environment in the inpatient ward should be ventilated and disinfected regularly, and all medical waste should be managed in a closed loop to prevent loss and leakage.
In the past few days, datong municipal hospitals have further strengthened various epidemic prevention and control measures to maximize the safety of patients and their families.
A hospital in Datong City requires all patients to register under a real-name system and leave real and effective contact information when applying for a card. In order to avoid the gathering of people, it is recommended to arrange the consultation time reasonably and maintain "one doctor, one patient and one consultation room". At the same time, hospitalized patients implement the "one patient, one companion" system and promote video visitation.
In order to reduce the gathering of personnel and avoid cross-infection, the four hospitals of Datong City recommend that patients pay attention to the hospital's WeChat public account appointment registration, come to the hospital according to the appointment time, and reduce the stay time in the hospital. The hospital implements 24-hour control, and it is strictly forbidden for couriers, takeaways and other items and unrelated personnel to enter.
The Infection Management Department of the Three Hospitals of Datong City organized the cleaning and field staff of the whole hospital to carry out the training on "New Crown Related Knowledge and Hospital Infection Control", focusing on the management of medical waste, classification and storage, the transfer of special tools, information and data registration, the disinfection of the clinic, personal protection of personnel, hand hygiene and other contents, as well as health monitoring during the epidemic period.
The Second Hospital of Datong City strictly manages the access control in the ward, and the access control password is managed by the medical staff, and it must not be leaked to the patients and accompanying personnel. Third-party service companies have comprehensively strengthened the implementation of various prevention and control measures, conducted daily self-examinations, and established problem accounts. (Reporters Zheng Na, Zhou Mingfei, Zhao Zhicheng)
Source: Shanxi Daily
![Yang Yuxing went to Luojia Town to supervise grain production and procurement on the spot[fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)