Directory
01Health Management Requirements
02 Preventive health measures
03 Personal Protection
04 Epidemic Prevention and Control Strategy
05 Epidemic Prevention and Control Measures
Health Management Requirements
- Formulate plans and reserve materials
Formulate emergency plans and work procedures related to outpatient and inpatient diagnosis and treatment during novel coronavirus pneumonia epidemic.
Formulate a response plan for nosocomial infection
Stockpiling of protective articles and disinfection materials
2, the establishment of liaison consultation mechanism, the establishment of isolation ward (room)
Establish a liaison and consultation mechanism with local comprehensive medical institutions with novel coronavirus pneumonia diagnosis and treatment capabilities.
The psychiatric hospital has set up an observation isolation ward, and the psychiatric department of the general hospital has set up an emergency isolation ward. Newly admitted patients with mental disorders will be transferred to the general ward/ward after 14 days of observation in this ward/ward.
Conditional institutions, set up fever wards, under the guidance of hospital experts, transform outpatient and ward isolation areas, scientifically set up medical personnel and patient channels and medical waste transfer channels, reduce the risk of cross infection.
3, to carry out novel coronavirus pneumonia prevention and control knowledge training for all staff
To master the clinical features, diagnostic criteria, treatment principles and protective measures of novel coronavirus pneumonia
Timely detection of patients and referral to designated hospitals for treatment
Provide psychiatric liaison consultation for designated hospitals to achieve early isolation, early diagnosis and early treatment.
4, Take strict outpatient and inpatient restrictions
Scientific and orderly medical work should be carried out to minimize the number of outpatient follow-up visits and shorten the hospitalization time as much as possible.
Reduce and strictly manage hospital entrances and exits, suspend family visits, and limit the number of accompanying personnel.
- Implement various preventive measures for nosocomial infection
All departments cooperate closely to implement various preventive measures for nosocomial infection.
Ensure that disinfection, isolation and protective measures are in place.
Attention should be paid to environmental sanitation and ventilation in all areas.
Appoint special personnel to supervise and inspect
Do a good job in cleaning and disinfection management of the actual ward.
02 Preventive health measures
1, Strengthen the ventilation of diagnosis and treatment environment
Exhaust (including natural ventilation and mechanical exhaust) measures can be taken to maintain indoor air circulation.
Ventilation 2 ~ 3 times a day, each time not less than 30 minutes, and timely adjustment according to the climate conditions; Or install exhaust equipment to strengthen exhaust; Legal and effective circulating air disinfection machines can also be used.
- Strengthen the management of hospital districts and personnel
- Set up a non-contact thermometer at the entrance of the hospital.
- Place quick-drying hand disinfectant in outpatient hall, elevator room, waiting room and other densely populated places.
- Patients, accompanying staff and related personnel must wear masks before entering the outpatient diagnosis and treatment area, and strengthen hand hygiene at the same time.
- Strengthen the management, treatment and care of hospitalized patients, especially patients with severe mental disorders, minimize outdoor activities and reduce the risk of impulsive behavior.
- Strengthen the diet management of hospitalized patients
5, Strengthen hand hygiene, strict hand washing and/or hand disinfection
Alcohol-containing quick-drying hand disinfectant or alcohol-based compound quick-drying hand disinfectant can be selected, or 75% ethanol can be directly used for wiping and disinfection. For people with alcohol allergy, effective non-alcohol hand disinfectants such as quaternary ammonium salts can be selected.
Under special conditions, 3% hydrogen peroxide disinfectant, 0.5% iodophor or 0.05% chlorine-containing disinfectant can also be used to wipe or soak hands, and the disinfection time can be appropriately prolonged.
When there are visible pollutants, hand sanitizer should be used to wash hands under flowing water first, and then disinfection should be carried out according to the above methods.
6, Strengthen daily cleaning and disinfection
During the epidemic period of novel coronavirus pneumonia, daily cleaning and disinfection should be strengthened for all diagnosis and treatment supplies, object surfaces and environment.
Try to choose disposable diagnosis and treatment products. Non-disposable diagnosis and treatment products should be sterilized by pressure steam. Non-heat-resistant products can be sterilized or sterilized by chemical disinfectant or low-temperature sterilization equipment. The surface of environmental objects can be wiped, sprayed or soaked with chlorine-containing disinfectants, chlorine dioxide and other disinfectants.
- Strengthen the management and monitoring of hospital infection
- Strengthen the management of key groups
9, Guide grass-roots organizations to do a good job in the management and treatment of patients with severe mental disorders at home and community care
03 Personal Protection
1, Isolation ward/ward staff should strengthen personal protection, strictly evaluate and adopt the corresponding protection level. Wear corresponding work clothes, disposable work caps, disposable gloves, medical disposable protective clothing, medical protective masks or power air supply filter respirators, protective screens or goggles, work shoes or rubber boots, waterproof boot covers, etc.
- Other medical staff should do a good job in standard prevention, strictly do a good job in hand hygiene, and try to avoid close contact with patients.
- Do a good job of hand hygiene in strict accordance with the indications of “two before and three after” and rub your hands with quick-drying hand disinfectant; When there are pollutants visible to the naked eye, hand sanitizer shall be used to wash hands under flowing water before hand disinfection. Hand washing shall be carried out in strict accordance with the “six-step washing method”.
- Scientific shift arrangement, avoid overwork, put an end to work with diseases; Pay close attention to their own health status, take timely countermeasures in case of discomfort, and isolate and seek medical treatment in time.
04 Epidemic Prevention and Control Strategy
1, the establishment of epidemic prevention and control leading group
The main leaders of the Party and government are the team leaders, and the leaders of other institutes are the deputy team leaders. The members include the heads of relevant functional departments. Responsible for leading, organizing and coordinating the prevention and control of novel coronavirus pneumonia in the hospital.
- Refine the prevention and control plan and strengthen the risk assessment of patients.
Adjust routine diagnosis and treatment services, strictly refine prevention and control programs such as graded protection of medical personnel and environmental and surface disinfection according to post risks and protection standards.
- Formulate emergency plans according to the current situation
For the possible occurrence of suspected cases of novel coronavirus pneumonia in wards, the “Emergency Treatment Plan for Suspected Cases in novel coronavirus pneumonia” is formulated, and practical exercises are carried out to ensure smooth connection of all links, and timely and effective judgment, disposal and transportation of suspected cases are carried out.
- Strengthen the screening and isolation of newly admitted patients
Outpatient screening should be carried out for newly admitted patients, and the epidemiological contact history of novel coronavirus pneumonia should be inquired in detail, so as to do a good job in relevant examinations.
For newly admitted patients, isolation observation wards shall be set up, and relevant work systems and norms shall be formulated.
- Strengthen the discovery and management of novel coronavirus pneumonia among hospitalized patients
If suspected or confirmed novel coronavirus pneumonia is found in hospitalized patients with mental disorders, isolation measures shall be taken immediately, the patients shall be referred to designated hospitals for treatment, and the local health administrative department shall be reported in a timely manner.
For confirmed patients who cannot be transferred out to designated hospitals for the time being, mental health medical institutions shall immediately set up fever wards, and ask comprehensive medical institutions with novel coronavirus pneumonia diagnosis and treatment capabilities to send personnel for consultation.
At the same time, mental health medical institutions should take immediate measures to isolate close contact medical personnel and patients for medical observation for 14 days, and thoroughly disinfect wards.
05 Epidemic Prevention and Control Measures
1, Strengthen outpatient entrance management
The establishment of a unique access to the outpatient service, with separate access to and exit from the outpatient service, and separate access to staff and patients.
Patients, accompanying staff and relevant personnel must wear masks and cooperate with body temperature measurement before entering the outpatient diagnosis and treatment area.
Accompanying personnel with fever or respiratory symptoms shall be guided to the fever clinic (if any), or it is recommended to go to the fever clinic of the local designated medical institution.
- Strict pre-screening triage system
Outpatient clinics should set up independent pre-screening triage desks to carry out health education on hand hygiene and sneezing for patients. Oral cavity is required to be worn during the treatment process to avoid crowd gathering.
Pre-examination nurses must ask all patients about their epidemiological history of novel coronavirus pneumonia and whether they have clinical symptoms such as cough, fatigue, myalgia and diarrhea.
Patients without fever, clinical symptoms and related epidemiological history should be treated according to the routine outpatient procedures on the basis of reasonable protection.
- Set up an isolation clinic
During the epidemic situation, it is suggested to set up an isolation clinic to meet the isolation and treatment needs of patients with fever or key epidemiological monitoring objects. The isolation area and clinic should be distinguished from other common clinic areas, and an independent passage from pre-screening to isolation clinic should be set up to avoid passing through waiting areas with relatively dense crowds.
After the diagnosis and treatment is completed, the outpatient department shall clean and disinfect the isolated clinic and passages according to the requirements of hospital infection, and the medical waste shall be disposed of according to regulations.
- Set up an isolated ward/ward
Set up observation and isolation wards/wards. Conditional hospitals suggest setting up emergency isolation wards for observation and isolation of newly admitted patients, establishing relevant working systems and procedures, and providing sufficient disinfection and protective articles to deal with acute respiratory infectious diseases.
- Strengthen ward management
Strictly grasp the hospitalization indications of patients and shorten the hospitalization time as much as possible.
During the epidemic period, on-site visits were suspended, and qualified hospitals suspended ward doctors’ visits to reduce the risk of cross infection.
In principle, there is no escort, hospital regulations are observed, and daily health monitoring is carried out.
6, follow-up, follow-up can be appropriate to adjust the time limit, or encourage the use of Internet hospitals and other remote diagnosis and treatment channels. For patients with stable condition, the prescription time can be appropriately prolonged, and the maximum dosage can be prescribed for 3 months.
7, Suspected or confirmed novel coronavirus pneumonia of mental disorders patients must be admitted to the local designated medical institutions, psychiatric hospitals should cooperate to provide corresponding contact consultation services.
- Terminal Disinfection
The psychiatric hospital where the mental disorder patients with suspected or confirmed novel coronavirus pneumonia are located shall carry out final disinfection, which shall be carried out by special personnel assigned by medical institutions, and the disease prevention and control institutions shall provide technical guidance.
Non-professional personnel should receive professional training from local disease prevention and control institutions before carrying out disinfection work, adopt correct disinfection methods and do a good job in personal protection.
Fight against the epidemic, start with me!
Source: Jiangsu Center for Disease Control and Prevention
