01
Relay of the epidemic to spread the news of "mother and child safety"
"Born! Born! Mother and child are safe! At 11:00 a.m. on July 24, Zhang Jian, general secretary of the party branch and director of the neighborhood committee of Baiyun Road Community in Lukou Street, Jiangning District, Nanjing City, received such a WeChat message. In just eight words, the joy of welcoming a new life overflowed the screen, and the exhaustion of the days was swept away.
Since July 21, baiyun road communities and other places have been adjusted from low-risk areas to medium-risk areas; Lukou Street is a closed area. After receiving the notification, Lukou Street immediately launched the emergency plan for epidemic prevention and control, and the communities involved in the epidemic quickly pulled up the cordon and carried out all-round closure and control of personnel, in principle, only entering and leaving.
On the afternoon of the 25th, a pregnant woman in Taodong Community, Lukou Street, Jiangning District, suddenly became unwell, and the staff promptly sent the pregnant woman to Jiangning Hospital for treatment through a special car.
A sudden situation ensued. At 8:30 p.m. on the 23rd, the Baiyun Road community received an emergency call for help, and a pregnant woman in the jurisdiction said that she had reached full term and would give birth at any time! "No matter what the situation, the safety of all lives must be guaranteed!" This is the mission and the bottom line! Zhang Jian reported information, issued certificates, and coordinated vehicles to the district epidemic prevention and control command office on the one hand, and on the other hand, he took the community women's director to the pregnant woman's home to soothe the pregnant woman's emotions and prepare for the transfer. Half an hour later, the pregnant woman and her accompanying family were sent to an emergency dispatch vehicle, at which point the police car in charge of the transfer was already waiting at the street checkpoint.
At 10:40 a.m. the next morning, in the hospital operating room, with a loud cry, a healthy baby boy fell to the ground. At noon that day, the family members of pregnant women who were still excited wrote a testimonial in the circle of friends - "'Life's friendship'!" Kudos to the Baiyun Road community! ”
With the outbreak of the epidemic in full swing, how can special groups such as pregnant women in the closed area of Lukou Street in Jiangning District and pregnant women in medium- and high-risk areas receive timely and effective medical assistance? This has become the most concerned issue for the outside world, the most personal to the masses, and the most important for health. Earlier, a full-term pregnant woman who lived in Lukou Street asked for help on Weibo, saying that because she was in the sealed area, Su Kang code turned yellow again, trapped in the community and could not go out, although she was told that she could give birth in the community hospital, but the community hospital did not have the corresponding conditions and could only stay at home. At 3:32 p.m. on the 25th, the netizen posted a new Weibo, saying that at 6 o'clock in the morning, he received a call from the staff of his community, informing her that she had coordinated Jiangning Hospital, and her husband had gone through the relevant procedures, and the problem had been solved.
"The expected date of delivery is approaching, where will the women in the sealing area go to give birth?" "What procedures do I need to go through from the Municipal Women's and Children's Transfer Card to Lukou Hospital?" "IVF pregnant women have higher requirements for obstetric examinations, can hospitals in the sealing area meet them?" ...... On the morning of the 24th, the Lukou Street Women's Federation summarized the data of pregnant women in the jurisdiction to each community and collected relevant needs. By the afternoon, 30 communities had reported a total of 134 requests.
The first time to summarize, the first time to report, The Jiangning District Committee and District Government attach great importance to it, urgently coordinate the medical resources at the municipal and district levels, and agree on the medical treatment process. Bu Xuan, full-time vice chairman of the Lukou Subdistrict Women's Federation, said that children are the top priority of a family. In addition to obstetric examination, production, etc., the women's federations at the district and street levels actively coordinate the medical resources of women and children in Jiangning District, publish doctors' contact information and Micro-signals, and provide one-on-one online consultation services for pregnant women and newborns in the sealed area 24 hours a day.
On the 25th, the "Guidelines for Seeking Medical Treatment for Patients in Sukang Code and Sealed areas in Jiangning District" was officially released, which determined that Jiangning Hospital was a designated medical institution for medical treatment of pregnant women, emergency emergency care, chronic disease patients, special disease patients and other groups in the sealing and control area (hereinafter referred to as "special populations") (of which pregnant women and newborns are in Hushan Road Campus; children under 16 years old are in Gushan Road Campus). Designated medical institutions have established a multidisciplinary joint treatment mechanism, and set up expert groups for emergency, surgical, respiratory, pediatric, maternal and newborn treatment, etc., to provide timely and effective disease treatment and preventive health care services for patients in Sukang Code Yellow Code and sealing and control areas. Members of the Jiangning District COVID-19 Treatment Expert Group provide guidance and assistance for the medical treatment of designated hospitals.
On the 23rd, in the gymnasium of the Xianlin Campus of Nanjing University, the medical staff of Nanjing University gave up their vacation and threw themselves into the fight against the epidemic. Photo by She Zhijun
After the initial survey, there were a total of 910 pregnant women in the sealed area of Jiangning District, of which 187 pregnant women (161 in Lukou) gave birth from July to August. In order to better serve and ensure the health needs of pregnant women in the sealed and controlled areas, at 6 p.m. on the 25th, Jiangning District issued the "Announcement on maternal health management in the sealed and controlled areas of the new crown epidemic in Jiangning District", which was further refined and clarified: if pregnant women need obstetric examinations outside the district, the Jiangning District Maternal and Child Health Care Family Planning Service Center will assist in retrieving the maternal health care card, and Jiangning Hospital will receive the card and be responsible for obstetric examination and delivery; the maternal original Jianka Hospital (provincial and municipal hospitals at all levels) will assist Jiangning Hospital to carry out maternal health care guidance and consultation. Jiangning Hospital's fever clinic sets up a maternal health department, which is responsible for carrying out special examinations such as maternal card building, obstetric examination, maternal NT examination, ultrasound system screening, non-invasive DNA (on-site or telephone appointments), and Jiangning Hospital invites provincial and municipal experts to consult on the spot in a timely manner.
The Jiangning District Health Commission suggests that when relevant special groups go to medical institutions for fever diagnosis, they need to provide a nucleic acid test report within 1 week (those without a test report need to provide relevant test certificates from the local community), ID cards, etc. before they can seek medical treatment. Medical institutions shall give priority to the treatment of patients with emergency obstetrics and sudden abnormalities such as pregnant women without nucleic acid test reports (certificates), and conduct nucleic acid testing on the spot. When special groups of people in the sealing and control area go to the designated hospital for treatment, the community needs to contact the medical treatment team in advance for treatment, and the medical treatment team uniformly coordinates the transportation and transfer group transfer, medical treatment, etc.; the special groups outside the sealing and control area should do a good job of personal protection throughout the treatment, wear disposable medical surgical masks or N95 masks, do not take public transportation, and report the trajectory of action to the community. Routine medicines needed by people with stable symptoms are uniformly distributed by the community under the guidance of doctors.
According to the "Jiangning Health Guard" WeChat public account, the 24-hour total duty telephone of Jiangning Hospital is: 18151009685 for children, 15380791372, and 18151009575 for adult patients. For questions related to maternal health care and child health care, you can call the consultation telephone number, Maternal Health Care 18168077815, 18205179474, Child Health Care: 15305170753, 18351443259.
Relevant people from the Nanjing Jiangning District New Crown Pneumonia Epidemic Prevention and Control Headquarters said that they will resolutely implement the principle of "external prevention and export, internal prevention and proliferation", "strict control and measures in place" of community (natural village) closure and control, guide medical institutions to do a good job in the diagnosis and treatment of patients in the Su Kang code as the yellow code and the sealing and control area, timely treat patients, and win the battle of epidemic prevention and control.
02
Hospitals in Nanjing are making every effort to ensure the safety of diagnosis and treatment
Nanjing has recently strengthened the prevention and control of the epidemic, and some citizens are worried about whether the hospital can see normally. The major hospitals in Nanjing do not stop diagnosis and make every effort to ensure the safety and demand of public diagnosis and treatment.
A number of measures are taken in parallel to ensure orderly visits
Show the health code "green code" through the wisdom gate and pre-examination triage, in the hospital entrance, outpatient entrance, before the waiting area of the consultation room need to measure the body temperature 3 times to show normal, can enter the corresponding consultation room; the hospital broadcast loop prompt, please wear a mask, pay attention to protection... In the outpatient building of Jiangsu Provincial People's Hospital, patients are in good order.
Nanjing citizens praised the medical staff. Photo by Wan Chengpeng
According to Shan Tao, chief of the service center section of the outpatient department of the hospital, under the unified deployment of the hospital leaders, all departments work together to urgently allocate personnel to participate in the city's epidemic prevention work according to the key requirements of different stages of epidemic prevention and control, and at the same time deploy personnel to strengthen the epidemic prevention and control work in key areas such as outpatient emergency departments.
The outpatient department of the hospital has reduced the gathering of patients by strengthening the management of appointments and staggered peak visits, Internet hospitals, etc., and strictly implemented the hospital sense management such as pre-examination triage, "one doctor, one patient and one clinic", and regional disinfection. On the afternoon of the 24th, in the general surgery waiting area, there were not many waiting patients, and some outpatient nurses used electronic temperature guns at the entrance of the clinic area to measure the patient's body temperature, and some inspected the situation in the clinic area. Huang Chi, a resident physician in general surgery, said that now is a critical moment in epidemic prevention and control, as a medical staff, we must ensure that patients receive normal medical treatment and emergency protection.
Strict prevention of cross-infection, yellow and green codes separately for treatment
What is the difference between holding a health code "green code" and "yellow code"? Shao Qian, director of the outpatient department of Nanjing Stomatological Hospital, introduced: "Patients with a green health code see the outpatient clinic as usual. Patients with a yellow health code are now unable to go through a general outpatient clinic, but if emergency treatment is required, such as trauma, large gap infections and other patients who must be treated in the hospital, we have a special emergency channel. Shao Qian said that the hospital has sent more than 100 medical nurses to support nucleic acid testing, while ensuring the normal operation of the hospital, "to meet the needs of outpatients, this is the first, but also our general principle." The party committee of the hospital proposed that party members go first, and comrades should give up their rotation time to go up to the top and try to minimize the impact of the epidemic on outpatient clinics. ”
On the evening of the 22nd, the medical staff of Nanjing Pukou District Traditional Chinese Medicine Hospital finally showed a happy smile after completing the first round of nucleic acid testing and collection in Nanjing. Photo by Xue Xiaohong
Knowing that many patients cannot be treated as scheduled because of the epidemic, Nanjing Stomatological Hospital has specially extended the time limit for handling appointment withdrawal numbers from 1 month to 2 months, and does not make default records.
Oral diagnosis and treatment has certain particularities, how to ensure the safety of medical treatment? Nanjing Stomatological Hospital currently implements the strictest standards for epidemic prevention and control, and medical staff wear isolation gowns, goggles, and surgical masks, and each key point does not fall. "If it is a yellow code patient emergency department, the isolation level will also be raised, the doctor wears a full set of protective clothing, the patient is treated in a special room that can absorb aerosols in the air, and the clinic is disinfected one by one to prevent cross-infection." Shao Qian also called for the patient's family not to accompany the patient as much as possible in order to avoid crowds and reduce the number of people attending the hospital as much as possible.
Online and offline linkage, sending drugs to the home "cloud" diagnosis and treatment
"After the 22nd, the number of patients in other places decreased, and the number of offline outpatients dropped significantly." Lu Dongling, director of the outpatient department of Jiangsu Provincial Hospital of Traditional Chinese Medicine, said that according to this situation, the hospital has increased the number of online "cloud outpatient" experts, and patients who return to the clinic can communicate with the original doctor about the medication adjustment plan and directly choose the delivery service to send the medicine home. In the past few days, the express delivery volume of the hospital's "cloud outpatient" has increased from the original 700 to 800 copies a day to about 1200 copies.
On the 25th, the Dingfang community in Nanjing opened a green channel for pregnant women, the elderly and residents with limited mobility in the jurisdiction, and went to the door to conduct nucleic acid sampling for them. Photo by Zhao Yaling
The hospital's offline diagnosis and treatment, grasping medicines, etc. as usual, many people left the hospital with large bags of Chinese medicine. Grandma Zhang, 70, said that she had been in the provincial hospital for many years to grasp medicine, and she did not feel any impact after the outbreak, and it was as convenient to get medicine as before.
Lu Dongling said frankly that compared with last year, medical institutions have responded to the epidemic more calmly, not only the personnel allocation is relatively sufficient, but also the medical process carding and equipment and facilities reserves have kept up in time. The hospital will continue to overcome difficulties and try its best to adjust and optimize the schedule so that medical staff can better serve patients.
Source: Beijing West Road Lookout
Source: WeChat Jiangsu