Beijing issues work plan for prevention and control of the new crown pneumonia epidemic of elderly care service institutions in autumn and winter
Nursing homes will establish a close contact record system
In order to effectively respond to the epidemic prevention and control risks that may occur in autumn and winter, and make every effort to normalize the field of elderly care services and prevent and control the epidemic in autumn and winter, the Beijing Municipal Civil Affairs Bureau and the Beijing Municipal Finance Bureau jointly issued the "Beijing Autumn and Winter Elderly Service Organization New Crown Pneumonia epidemic prevention and control work plan" (hereinafter referred to as the "plan").
The "Plan" stipulates prevention and control measures under the normalization of epidemic prevention and control in low-risk areas, including for the first time the establishment of a close contact record system and exploration of "non-contact" family visits.
Different risk levels use different prevention and control strategies
This "plan" adheres to the principle of "classified management, hierarchical management and control".
In the past, all elderly care service agencies raised or lowered their prevention and control levels in accordance with the city’s prevention and control plan. This time the “plan” puts forward the principle of hierarchical management, using different prevention and control strategies for the risk levels of 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 the Normalization of Epidemic Prevention and Control Measures for Elderly Care Service Institutions"; low-risk areas are implemented in accordance with the "Notice on Doing a Good Job in Normalizing Epidemic Prevention and Control Work for Elderly Service Institutions" and this "Plan".
The "Plan" requires adherence to the principle of "no going out unless necessary, and strict protection for admission to hospitals when necessary."
According to the relevant person in charge of the Civil Affairs Bureau, 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.
Therefore, we must grasp the necessary balance of epidemic prevention, and we must not relax because there is no epidemic, and we must not over-protect and over-protect it because of an epidemic.
Health monitoring is not isolated observation
A reporter from the Beijing Youth Daily noted that, compared with the No. 96 document issued in July, the "Plan" stipulates prevention and control measures in low-risk areas under the normalization of epidemic prevention and control.
It is important to note that health monitoring is not an isolated observation. Health monitoring refers to living in a single room, eating alone, and not in close contact with other elderly people. If you really need to have close contact with other elderly people, you must wear a mask and keep a safe distance of more than one meter. .
The "Plan" requires the optimization of health monitoring management, focusing on three changes. The first is to check the status of the "personal information scan code registration" of the application "Beijing Healthbao" and pay attention to the 14-day travel history; the second is to pay attention to whether there are respiratory infectious diseases The third is that employees who have fever symptoms should report to their senior care institution as soon as possible.
Commuter employees and permanent institution employees should wear masks when working together indoors, and separate meals and rest at the wrong time.
First mention the establishment of a close contact record system
With the accumulation of practical experience in epidemic prevention and control, combined with the demands of the elderly in the prevention and control of the epidemic, the "Plan" optimizes the management procedures for the elderly who are temporarily out, and adjusts the procedures for returning to the hospital for the elderly who really need to go out and seek medical treatment temporarily.
One is that for elderly people who really need to go out (excluding temporary medical treatment) and can return to the institution on the same day, they can no longer arrange isolation and observation after returning to the hospital, but health monitoring should be strengthened.
The second is that the elderly (including emergency, dialysis, and chemotherapy personnel) who go out temporarily for medical treatment return to the hospital 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.
It is worth noting that the "Plan" proposed for the first time the establishment of a close contact record system.
The establishment of a record system for close contacts is to prevent possible epidemic risks, and at the same time, to quickly identify close contacts, and to minimize adverse effects in the event of an epidemic.
Close contacts are those who have close contact with other people within one 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.
Explore "non-contact" family visits
In order to reduce the risks caused by visits, the "Plan" 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 specify special area visits to guide visits Personnel visit through physical media such as glass, and if possible, 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.
In view of the different functions of the institution, the "Plan" requires the elderly care institutions to implement district management, 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.
Elderly people are not restricted in their activities in the care area, nor do they need to wear masks; if zoning management is not implemented, the elderly should wear masks scientifically and can carry out entertainment activities while maintaining a social distance of more than one meter.
Orderly resume catering for the elderly in the institution.
In addition, the "Plan" also requires the strict implementation of the health monitoring system for post-post service personnel. For post-stations that provide dine-in services, it is strictly enforced to disperse and sit in the same direction, and to avoid communication with each other without wearing masks and protection.
Text/Reporter Jiang Ruojing