China News Network, Beijing, March 30th (Reporter Du Yan) Beijing Xiaotangshan Hospital opened from March 16th to 24:00 on March 29th. The overall operation is stable and orderly, and it has received a total of screening personnel from overseas (return) to Beijing. In 2002, 394 people were screened for up to one day, and a total of 43 cases of new coronary pneumonia were confirmed. On the 30th, the first confirmed patient was discharged from the hospital.
What does restarting do?
Seventeen years ago, Beijing Xiaotangshan Hospital was commissioned when the SARS epidemic was at its worst. 1,000 hospital beds were built in 7 days, and military medical staff was fully responsible for the treatment, creating the highest cure rate, lowest mortality, and medical staff for SARS patients. Zero infection "Little Tangshan Miracle".
On March 30, the reporter visited Beijing Xiaotangshan Hospital. Photo by China Press Agency Han Haidan
17 years later, in the face of the sudden outbreak of new crown pneumonia, "Small Tangshan Hospitals" across China, including Vulcan Mountain Hospital and Raytheon Mountain Hospital, were quickly completed, and played an important role in the "epidemic".
In Beijing, Xiaotangshan Hospital also urgently started the renovation project on January 23. Lu Yiping, deputy director of Beijing Hospital Management Center and leader of Beijing Xiaotangshan Designated Hospital Working Group, introduced on the 30th that after more than 15,000 engineering and technical staff and workers spent 53 days designing and constructing, on March 8, the hospital renovation project Successfully completed and passed the acceptance.
On March 30, the reporter visited Beijing Xiaotangshan Hospital. Photo by China Press Agency Han Haidan
Since March, China's domestic epidemic prevention and control situation has continued to improve, but due to the spread and spread of overseas epidemics, the number of newly diagnosed imported cases abroad has increased every day. In particular, Beijing, as an important international port, faces a sharp increase in the risk of overseas epidemic import. In early to mid-March, Beijing has dozens of daily inbound flights and thousands of people, and hundreds of people are screened daily at the city-level designated hospitals.
In order to accurately strengthen the prevention and control of overseas epidemic input, the iconic Beijing Xiaotangshan Designated Hospital was reopened on March 16th. It is mainly used for screening, suspected cases, and light and ordinary diagnosed patients from overseas (return) to Beijing. treatment.
On March 30, the reporter visited Beijing Xiaotangshan Hospital. Photo by China Press Agency Han Haidan
How to rekindle confidence and hope?
Seventeen years ago, Xiaotangshan Hospital gave Beijing citizens confidence and hope in the prevention and control of the SARS epidemic. In the "epidemic" of the new crown pneumonia war, how to ignite the confidence and hope of overseas (return) personnel from Beijing?
The reporter learned that Beijing Xiaotangshan Designated Hospital has two wards, namely B and newly built wards, with a total of more than 1,600 beds. Area B is transformed from the original ward, which can treat 144 light and common confirmed cases; the new ward can accept 720 centralized medical observers or suspected cases according to the requirements of single room isolation observation.
On March 30, the first confirmed patient from Xiaotangshan Hospital in Beijing was discharged. Photo by Hu Xiaoming
According to the epidemic prevention standards, all the passageways in the hospital area are hard-isolated, and separate entrances and exits are set up to achieve independent operation of each ward. They are on duty 24 hours a day to ensure that medical personnel who are directly engaged in screening and treatment tasks at the front line have zero contact with other personnel.
On the eve of the launch, the medical device group took more than 2,000 medical devices into the field and installed them in just one week; the pharmaceutical group established the drug catalogue in three days, and nearly 500 drug products were prepared in ten days; the information group started from Information system planning, design, review, and delivery were completed on schedule; more than 1,000 medical staff in 22 municipal hospitals quickly assembled, specializing in respiratory, infection, critical care, emergency, pediatrics, Chinese medicine, inspection, radiation, pharmacy, nursing, etc. More than a dozen majors; all preparations for material, security, logistics and other safeguards are in place.
According to Lu Yiping, it was opened at 19:00 on March 16th. As of 24:00 on March 29th, the hospital has received a total of 2002 screening personnel from overseas (return) in Beijing, including 1682 at airport transfers and 320 at isolated observation points in various districts. . A maximum of 394 screening personnel are accepted for one day. A total of 43 people were diagnosed and 4 people were transferred to Ditan Hospital and You'an Hospital, two municipal designated medical institutions in Beijing, due to changes in the condition.
How to complete a quick screening?
Ma Yingmin, deputy team leader of Beijing Xiaotangshan Hospital's working class and deputy director of Beijing Chaoyang Hospital, said that at the beginning of Xiaotangshan Hospital's operation, it will undertake screening, suspected screening, and light, general diagnosis of patients with symptoms who need to be screened for incoming passengers at Capital Airport. Rescue work. In the early stage, there was a large flow of people, requiring fast turnover of beds, avoiding the backlog of passengers at the airport, and at the same time ensuring the quality of screening and not missing patients.
To this end, the hospital focuses on key links such as admission, doctor's order, specimen collection and transfer, nucleic acid testing, CT examination, return of results, judgment of the condition, and discharge organization, etc., and formulates a thorough screening medical process, such as meticulous training for all doctors. Screening, secondary screening, indications for rescreening, etc.
In order to ensure the speed of screening, the hospital establishes a fast communication channel between clinicians and inspectors. It adopts a 24-hour continuous working method. The specimen collection method ranges from a centralized collection team to a collection nurse in a shift, from three times to six times a day. Moving and working non-stop, through the ferry system allows doctors to see the results and return the first time. At the same time, the hospital completed the screening to eliminate all links of suspected personnel leaving the hospital, so as to leave the hospital as soon as possible.
"In this way, the screening ability to receive 400 people to be screened in one day will be achieved on the fourth day of activation." Ma Yingmin said.
How to combine treatment with multiple means?
Screeners and confirmed patients, what kind of treatment will be given here?
Ma Yingmin said that in combination with Hubei's experience in treating new crown virus infection, in order to recover the diagnosed patients as soon as possible, the hospital has developed a treatment model combining Chinese and Western medicine, rehabilitation, and psychological counseling.
He said that the hospital adopts integrated Chinese and western medicine therapy, and the western medicine consultation group and the traditional Chinese medicine consultation group are set up in the hospital. The consultation group holds a daily meeting to discuss the patients diagnosed in the hospital one by one. Adjust the traditional Chinese medicine prescriptions in time to achieve targeted treatment.
Many screeners experience some physical discomfort due to long trips. Ma Yingmin said that the people who have questions during the screening are discussed, especially considering that they travel long distances through confined spaces. The hospital has prepared traditional Chinese medicine decoctions, which can be taken by voluntary passengers. The purpose is to eliminate travel fatigue as soon as possible and restore the body. Features.
According to reports, the current Chinese medicine treatment is mainly based on decoction, according to the condition to assist ear beans, acupoint sticking, cupping, meridian, Baduanjin and other treatment and rehabilitation methods.
While treating, the hospital takes advantage of rehabilitation medical institutions. Ma Yingmin said that the hospital's early rehabilitation treatment for confirmed patients is mainly based on the respiratory and limb rehabilitation of each patient to speed up the recovery of confirmed patients. For screeners, there are also nurses leading rehabilitation activities.
Some patients may worry about "is this disease incurable" and cannot eat or sleep. Ma Yingmin said that the hospital is equipped with a psychological counseling team, and doctors in specialized hospitals are responsible for psychological evaluation and treatment of each patient, such as writing a patient-based self-help music user manual to let them relax in music.
He said that for those who need to be screened, psychological counseling will also be conducted to ease their anxiety.
On the 30th, the first patient diagnosed at Xiaotangshan Hospital was cured and discharged. According to reports, the young female patient was admitted to the hospital on March 19, and after admission, was diagnosed as a common type of neo-pneumococcal disease. After strengthening symptomatic support, antiviral and traditional Chinese medicine and other integrated Chinese and western medicine treatments were given, and vital signs were closely monitored. The patient was cured and discharged on March 30.
How to avoid nosocomial infections?
Seventeen years ago, medical staff at Beijing Xiaotangshan Hospital had zero infection.
How can Xiaotangshan Hospital avoid hospital infections 17 years later? Chen Jing, deputy team leader of the Xiaotangshan designated hospital in Beijing and deputy secretary of the party committee of Beijing Shijitan Hospital, stated that the hospital has a clear area and a planned route.
According to the characteristics of patients diagnosed with new coronary pneumonia admitted to Xiaotangshan Designated Hospital, and in accordance with the guidelines for the prevention and control of respiratory infectious diseases in hospitals, the entire hospital area, different staff work areas, such as wards, inspection departments, medical waste disposal sites, linen cleaning and disinfection sites, and supplies Rooms, etc., to strictly delimit clean and polluted areas. Determine the walking routes for cleaning staff and patients; determine the walking routes for cleaning and polluting goods; standardize various signs to ensure that people and logistics do not cross, and ensure that the clean area is not polluted.
At the same time, the hospital infection management team monitors the physical condition of the medical staff and staff in the hospital at any time, conducts temperature monitoring and symptom reporting, and promptly conducts out-of-patient examinations if problems are found to ensure that no hospital infections occur.
She said that about 400,000 person-times had been monitored so far, and timely investigation and processing were conducted. (Finish)