Beijing optimized the response to the fall and winter epidemics in elderly care institutions, and for the first time proposed the establishment of a close contact record system, and insisted on preventing both people
Nursing homes implement hierarchical control of epidemics in autumn and winter
Beijing optimizes the response to the fall and winter epidemic in elderly care institutions, adheres to hierarchical management and control, guards against people together, and strict protection for hospital admissions
Recently, the Beijing Municipal Civil Affairs Bureau and the Beijing Municipal Finance Bureau jointly issued the "Beijing Autumn and Winter Elderly Care Service Institutions New Crown Pneumonia Prevention and Control Work Plan" (referred to as the "Prevention and Control Plan").
Based on the city’s experience and practice of epidemic prevention and control of elderly care service agencies, combined with the prominent problems reported by the elderly service agencies and the masses, the "Prevention and Control Plan" has three significant changes, namely, adherence to hierarchical management and control, simultaneous prevention of persons, and protection necessary for hospital admission Strictly.
In addition, the "Prevention and Control Plan" also stipulates prevention and control measures under the normalization of epidemic prevention and control in low-risk areas.
Beijing News Yesterday, the reporter learned from the Beijing Municipal Civil Affairs Bureau that the Civil Affairs Bureau and the Municipal Finance Bureau have recently jointly issued the "Beijing Autumn and Winter Elderly Care Service Organization New Crown Pneumonia Prevention and Control Work Plan."
Hierarchical control by risk level
Different from the previous city’s elderly care service agencies adopting an epidemic prevention and control policy, the “Prevention and Control Plan” puts forward the principles of classified management and hierarchical management and control, and uses different prevention and control strategies for different risk levels in different regions.
The general principle is that senior care service institutions in high-risk areas strictly implement closed management, in principle in accordance with the "Guidelines for the Prevention and Control of New Coronary Pneumonia in Beijing Elderly Care Institutions (Second Edition)"; principles for senior care service institutions in medium-risk areas The above is implemented in accordance with the "Notice on Adjusting and Optimizing Elderly Care Service Institutions' Normalized Epidemic Prevention and Control Measures"; low-risk areas follow the "Notice on Doing a Good Job in Elderly Care Services Institutions' Normalization of Epidemic Prevention and Control Work" and "Beijing Autumn and Winter Elderly Service Institutions New Coronary Pneumonia" Implementation of the Work Plan for Epidemic Prevention and Control.
The "Prevention and Control Plan" proposes that the closed management of elderly care institutions should adhere to the principle of "no going out unless necessary, and strict protection against admission if necessary."
The Beijing Civil Affairs Bureau stated that elderly care institutions insist on closed management, but this closed management state is "closed management with breathing", not closed emergency management under the state of primary prevention and control. It is necessary to grasp the necessary epidemic prevention balance. To relax due to the epidemic, we must not over-enforce and over-protect the epidemic.
Strengthen the detection of items and put forward "people and defense"
The "Prevention and Control Plan" also puts forward the policy of "combination of characters and balance of retraction".
It is required that all food materials, express delivery, parcels and other surfaces that enter the elderly care service institutions, especially imported cold chain foods, strictly follow the Municipal Centers for Disease Control and Prevention's "Guidelines for Preventive Disinfection During the Pneumonia Epidemic of Novel Coronavirus Infection (Third Edition)" and "Imports" The "Guidelines for Cold Chain Food Epidemic Prevention" stipulate that they should be disinfected and allowed to stand for 30 minutes at the door of the institution before being sent to the institution.
In addition, staff who contact and dispose of food materials, express delivery and other items should strengthen self-protection and disinfection management, and adhere to and strengthen the regular disinfection work in important places such as kitchens, operating rooms, storage rooms, public toilets, and air conditioning filters.
Judging from the epidemic situation in Beijing Xinfadi, Qingdao, Xinjiang and other places, the root cause can be traced to the contamination of the outer packaging of cold chain products.
In a low temperature environment, the outer packaging of such products can easily become a carrier for the spread of the new coronavirus.
Therefore, we adhere to the principle of "preventing people together", focusing on the sources of infection, transmission routes, and susceptible populations of the new crown pneumonia, and carefully implement all prevention and control links.
Refine prevention and control measures in low-risk areas
First mention of close contact record system
Compared with the related documents issued in July, the Prevention and Control Plan stipulates prevention and control measures under the normalization of epidemic prevention and control in low-risk areas.
Follow 1
Optimize health monitoring management
The "Prevention and Control Plan" proposes that health monitoring management should be optimized for the prevention and control work of normalized elderly care institutions.
For personnel who intend to enter the institution, the elderly in the institution, and employees, check the status of the “personal information scan code registration” of the application "Beijing Healthbao", pay attention to the 14-day travel history; pay attention to whether there are symptoms of respiratory infectious diseases, such as throat Dry itching, cough, runny nose, sneezing, etc.
For the elderly with respiratory symptoms, strengthen health monitoring.
The relevant person in charge of the Beijing Civil Affairs Bureau emphasized that health monitoring is not an isolated observation.
"Isolation medical observation is to isolate high-risk persons from the outside world, and take strict monitoring and disinfection measures under the supervision of the disease control department. Health monitoring requires single room living and single dining. If you really need to contact other elderly people, they should wear it. Masks and keep a safe distance of more than 1 meter."
For employees with respiratory symptoms, they should leave their jobs first and not have close contact with other elderly people.
Employees who have fever symptoms should immediately report to the elderly care institution where they are located, and at the same time go to the fever clinic for diagnosis and treatment.
Persons with suspicious symptoms such as respiratory tract (returning hospital personnel, visiting family members, maintenance personnel, etc.) shall not enter the institution.
Follow 2
Optimize the management procedures for the elderly
With the accumulation of practical experience in epidemic prevention and control, and combined with the demands reflected by the elderly in the prevention and control of the epidemic, the "Prevention and Control Plan" optimizes the management procedures for the elderly who temporarily go out, and adjusts the return procedures for the elderly who really need to go out and seek medical treatment temporarily. .
For elderly people who really need to go out (excluding temporary medical treatment) and can return to the institution that day, they are required not to go to crowded places or leave Beijing. After returning to the hospital, they can no longer arrange isolation and observation, but health monitoring should be strengthened.
Elderly persons (including emergency, dialysis, and chemotherapy personnel) who are temporarily out for medical treatment and return on the same day, within 7 days from the day after returning to the hospital, live in a single room, eat alone in the hospital, and do not have close contact with other elderly people.
If you really need to come into contact with other elderly people in the hospital, you should wear a mask and keep a safe distance of more than 1 meter.
Elderly people staying for observation and hospitalization and returning to the hospital, except for 7 days of health monitoring, should undergo nucleic acid testing and the test result is negative.
Follow 3
Establish a record system for close contacts
In order to prevent possible epidemic risks and to quickly determine the close contacts, the "Prevention and Control Plan" proposed for the first time the establishment of a close contact record system to minimize the risk in the event of an epidemic.
Close contacts are those who have close contact with other people within 1 meter without effective protection.
Establish a daily close contact account for the elderly and employees in the organization, so that each person's daily close contact can be tracked and checked.
In order to reduce the risks caused by visits, the "Prevention and Control Plan" also proposes non-contact family visits, guiding elderly care institutions to increase the daily interaction between the elderly and their families by constructing video interaction methods that are closer to the real scene; you can also choose to designate special area visits , To guide visitors through physical media such as glass, and if conditions permit, they can be equipped with intercom audio equipment to reduce unnecessary direct contact.
The specific operation will be explored and practiced by the institution according to its own situation.
Follow 4
Wrong time management of employees
The "Prevention and Control Plan" proposes that commuter employees should take personal protection, insist on wearing masks correctly, disinfect their hands at all times, and keep a safe distance.
When providing services to clients, they must wear medical surgical masks and strictly abide by the “four hand-cleaning moments”: before contacting the client, during the execution of the service, after contacting the client’s domestic waste, and after cleaning up the environment.
It is worth noting that the "Prevention and Control Plan" proposes that commuter employees and permanent institution employees should wear masks when working together indoors, and separate meals and rest at the wrong time.
At the same time, it is proposed to implement divisional management for different functions within the organization, divide the logistics support area, the administrative reception area, and the elderly care area, with emphasis on strengthening the management of the elderly living area.
Each area is a relatively independent space, and qualified institutions can use each floor as a separate area to minimize cross-infection and contact between people in different areas.
Key points of epidemic prevention and control in low-risk areas
·Optimize health monitoring management
·Regulate employee commuting
·Strengthen the access management of the elderly in the hospital
·Implementing the same inspection
·Establish a close record system
·Standardize the activities of the elderly in the hospital
·Explore "non-contact" family visits
·Orderly carry out home care services
Beijing News reporter Ma Jinqian