On June 27, Dandong City, Liaoning Province held a press conference on epidemic prevention and control. Hou Xiaoye, deputy director of the Dandong Municipal Health Commission and director of the Municipal Center for Disease Control and Prevention, reported the relevant situation: During the epidemic, Dandong City mainly took the following measures to ensure medical security. .
The first is to designate classified treatment institutions.
The Yellow Code Hospital (the tentative Municipal People's Hospital in the main urban area) is responsible for the medical treatment of those who seek medical treatment in the sealed and controlled areas and those under quarantine observation.
Other medical institutions (including specialized medical institutions) are responsible for the medical treatment of patients in the control area and prevention area.
The designated hospitals (Sixth Municipal People's Hospital) and Fangcang shelter hospitals are responsible for the medical treatment of the new coronavirus infection cases.
Before the completion of the New Sixth People's Hospital, the 700 beds in the central hospital will be used as a designated hospital to ensure the medical treatment of people infected with the new coronavirus.
The second is to standardize the classified medical treatment process.
Except for critical illnesses, only those who seek medical treatment can seek medical treatment only after the community (village neighborhood committee) issues a personal identification certificate.
Critically ill patients are transported by 120 emergency vehicles.
Ordinary patients or patients with chronic diseases in the prevention area can walk or drive to seek medical treatment.
For patients in the closed and controlled areas, the township (street) will arrange a special organization to establish a direct hotline with the counterpart medical institution to connect medical services, call the 3791111 hotline to contact the volunteer transfer team, use special vehicles to carry out transfer, and implement "point-to-point" closed-loop management.
The third is to strengthen emergency management.
Second-level and above medical institutions are required to further allocate and strengthen the medical staff of the emergency department, and strengthen the effective connection between pre-hospital transfer and in-hospital first aid.
Based on the principle of seeking medical treatment nearby, after pre-hospital emergency patients arrive at the hospital, the first-diagnosis institution and medical staff strictly implement the first-diagnosis responsibility system. In principle, the admission and handover work must be completed within 15 minutes. Refusing to receive treatment for any reason, such as insufficient beds, etc., to ensure that critically ill patients receive effective treatment as soon as they arrive at the hospital.
The fourth is to optimize medical service measures.
For critically ill patients who cannot provide a 48-hour negative nucleic acid test certificate, the receiving institution will complete an antigen test and carry out nucleic acid sampling and testing as soon as possible to ensure that all patients should be diagnosed and received.
Fifth, standardize the cross-regional referral process.
In order to avoid cross-infection of medical institutions due to the disorderly flow of patients and accompanying persons across regions, patients in the city should follow the principle of seeking medical treatment at the nearest location and the first consultation in their jurisdiction. The patient goes to the county medical institution for the first consultation.
Due to the limitations of medical technology and medical equipment, diseases that cannot be further diagnosed and treated shall be referred by the health administrative department.
In principle, the municipal health administrative department shall report to the provincial health administrative department for examination and approval when going out of the city for medical treatment.
Sixth, strengthen the capacity of pre-hospital emergency services.
The Municipal 120 Emergency Rescue Center is required to strictly implement the 24-hour on-duty system, the proportion of answering alarm calls within 10 seconds should reach more than 95%, and the response rate should reach 100%.
The dispatcher on duty dispatches the ambulance vehicle to perform the transfer task as soon as possible according to the requirements for classified admission and treatment.
The main urban area maintains 10 online pre-hospital emergency vehicles, and the hospital where each emergency station is located is responsible for ensuring that personnel, vehicles, and vehicle-mounted equipment are on standby at any time.
On the basis of the existing negative pressure ambulances, the city level has added 20 negative pressure ambulances to meet the needs of emergency transfer.
Donggang City, Fengcheng City, and Kuandian County shall fill in the number of ambulances according to the standard requirement of 1 ambulance per 10,000 people.
Seventh, scientifically and accurately implement sensory control measures.
Further strengthen the pre-examination and triage of medical institutions, and strictly implement the double inspection of card and code.
Once a person with abnormal nucleic acid test enters the institution, it is necessary to scientifically study and judge the risk, demarcate the scope of sealing and control by region, department, and unit, and carefully implement sealing and control measures for emergency rooms, dialysis rooms, etc.
In principle, the overall closure, control or suspension of medical institutions should not exceed 2 days.
Eighth, meet the medical needs of special populations.
If the original medical institution cannot provide continuous and uninterrupted medical services, timely shunting and treatment of renal failure patients, tumor patients and other critically ill patients who need to maintain regular treatment.
Give full play to the contracted service role of primary medical and health institutions and family doctors to ensure the medication needs of patients with chronic diseases, and extend the prescription dosage to 12 weeks.
The ninth is to adhere to the bottom line of maternal and child safety.
Carry out a thorough investigation of pregnant and lying-in women, establish a WeChat group for pregnant and lying-in women during the epidemic, and provide online health guidance by a team composed of maternal health care and medical experts.
In order to improve the treatment capacity of pregnant and lying-in women in the closed-and-controlled area, a temporary rescue group for critically ill pregnant and lying-in women was established in the Dandong Municipal People's Hospital to ensure the medical security of classified services for pregnant and lying-in women.
Tenth, strengthen the implementation of various policies and implement comprehensive security measures.
Continuously improve the settlement and reimbursement systems for chronic disease patients such as "long-term prescriptions" and Internet diagnosis and treatment to ensure the implementation of various medical security policies for epidemic prevention and control.
(Headquarters CCTV reporter Li Chengze)