China News Service, April 12 (Xinhua) According to the National Health and Welfare Commission website, the Joint Defense and Control Mechanism of the State Council recently issued a "Notice on Further Consolidating the Achievements and Improving the Prevention and Treatment Capability of New Coronary Pneumonia in Medical Institutions" (hereinafter referred to as the "Notice"). The "Notice" proposes that all regions conduct daily reports on the detection of new coronavirus nucleic acids in medical institutions. Each province submits the inspection results of the day before 12:00 (see the attachment for specific requirements) before April 12. The first submission time is April 13.
Data map: Items required for nucleic acid detection and sampling. Photo by Xu Mingrui
The "Notice" proposes to improve the management of outpatient and emergency pre-examination and triage. Check the health code of the patient, ask to wear a mask, and focus on whether there are signs and symptoms of respiratory diseases such as fever and cough, as well as whether there is close contact with patients with new coronary pneumonia and epidemiological history such as travel in areas with high incidence of epidemic disease. measuring. Transfer the norms of fever patients and patients with high suspicion of new coronary pneumonia to fever clinics. In areas where conditions permit, two pre-testing triages can be carried out online first and then on site in conjunction with the appointment and treatment.
The "Notice" requires that the management of fever clinic settings be strengthened. All localities should support medical institutions to strengthen the construction of fever clinics. The fever clinic should be set up in a relatively independent area within the medical institution, with good ventilation, eye-catching signs, separate toilets, channel and zone settings that meet the requirements, and equipped with special equipment and facilities to ensure that the inspection and treatment are completed in the fever clinic to the greatest extent. The fever clinics are regularly disinfected, and all personnel should wear disposable medical masks to protect them. If the new coronavirus infection cannot be excluded after examination, physical examination, etc., relevant examinations such as nucleic acid detection should be conducted to further exclude the new coronavirus infection. For patients with suspected or confirmed diagnosis of new coronary pneumonia, medical staff should register, report and isolate in accordance with relevant regulations, and promptly transfer to a designated hospital for further diagnosis or treatment. Patients may not be allowed to transfer or leave the hospital without authorization.
The "Notice" pointed out that it is necessary to make scheduled appointments and consultations and Internet consultations. All localities should vigorously support medical institutions to strengthen information construction, carry out appointment registration, appointment examination and appointment treatment, reasonably allocate the time for consultations, realize appointment appointments by time, and reduce crowd gathering on site.
The "Notice" proposes to strengthen infection prevention and control and medical personnel protection. All types of personnel entering medical institutions should choose and wear masks correctly, perform hand hygiene correctly, and manage environmental ventilation. When providing diagnosis and treatment services for patients with suspected and confirmed new coronary pneumonia, according to the level of operational risk, additional prevention should be done on the basis of standard prevention. For those who do not attach importance to the work of sensory control and do not implement the basic requirements of sensory control, leading to serious nosocomial infections, medical institutions and relevant persons in charge shall be dealt with in accordance with regulations.
The "Notice" requires that the laboratory testing capabilities of medical institutions be improved. All localities conduct daily reports on the detection of new coronavirus nucleic acids in medical institutions. Each province submits the inspection results of the day before 12:00 (see the attachment for specific requirements) before April 12. The first submission time is April 13.
The "Notice" requires that the response plan be formulated and deduced. Medical institutions should find weak links according to their geographical environment and functional positioning in epidemic prevention and control, and formulate response plans under different epidemic prevention and control pressures. All localities should submit their province ’s response plans to the State Council ’s joint defense and joint control mechanism by April 20.
The "Notice" emphasizes the strengthening of guidance and supervision. All localities should strengthen supervision of the prevention and treatment of new coronary pneumonia in medical institutions, and ensure that the implementation of various requirements is implemented in detail. Relying on the new coronary pneumonia medical treatment expert group and related professional quality control centers and other professional forces, a special supervision and inspection will be carried out before April 20, and the weak links in the prevention and control and treatment of epidemic situations in medical institutions shall be discovered in time to guide the improvement work. Promote medical institutions in various regions to prepare for the epidemic situation. The joint prevention and control mechanism of the State Council will organize the supervision and inspection in due course, and the specific time will be notified separately; in conjunction with the report to respond to the plan, experts will be organized to conduct a comprehensive analysis and evaluation of the prevention and treatment of new coronary pneumonia in various medical institutions, and the evaluation results will be notified to the whole country.