China News Service, June 11 (Xinhua) According to the National Health and Welfare Commission website, the State Council's comprehensive team for the joint prevention and control mechanism of the new coronavirus pneumonia epidemic has recently issued a "Notice on the role of medical institutions to do a good job in the prevention and control of normal epidemics." (Hereinafter referred to as "Notice"). The "Notice" requires that the "sentinel" role of fever clinics be fully utilized. For all patients who visit the fever clinic, they must scan the "health code" and perform nucleic acid testing.
Isolate medical observations and provide basic medical services for the cases to be ruled out and suspected. The fever clinic must not refuse to accept fever patients. All kinds of medical institutions should fully implement the pre-examination and triage system. For patients with fever, cough, fatigue, etc., under the protective conditions, they will be accompanied by a person to follow the prescribed path to the fever clinic.
Strictly implement the responsibility system for the first consultation. Medical staff should be a "gatekeeper", find suspicious cases such as fever, register relevant information in detail, and report, accept, and transport in a timely manner according to relevant procedures. All localities should step up publicity to guide patients with fever to choose medical institutions with hot clinics.
The "Notice" makes it clear that the role of "sentinel" of primary-level medical institutions will be fully utilized. Township health centers, village clinics, community health service centers (stations), clinics, outpatient departments and other grass-roots medical and health institutions must implement the first-visit responsibility system, register fever patients, and report to the local health department within 1 hour. Guide patients with unknown fever to the fever clinic for further examination and treatment. Township hospitals should set up temporary isolation wards in relatively independent areas to watch fever patients.
All districts and counties should perform nucleic acid detection on fever patients in township health centers every day. Fever patients should provide nucleic acid test reports. If they cannot be provided, the district’s or county’s leading group (command headquarters) and the leading group (command headquarters) shall organize the personnel to perform nucleic acid testing on the patients.
The "Notice" requires that the "sentinel" role of the emergency center be fully utilized. Strictly implement the information transmission and feedback system for ambulances. If you call "120" emergency phone due to fever and transfer to the hot clinic through the 120 ambulance, the emergency center should complete the handover and registration, and report the patient transfer information to the district and county leadership team (command headquarters). The information should include the patient's name , Address, age, symptoms, hospital, etc. If “120” is dialed due to fever and the transfer is not implemented, the emergency center will report the accurate information of the patient to the district/county leading group (headquarters), and the leading group (headquarters) will organize the protection and guide them to the hot clinic.
The "Notice" mentions the need to strengthen "sentinel" supervision and strictly enforce the responsibility check system. All localities should strengthen the guidance and supervision of medical institutions, especially those with "sentinel" nature should carry out regular inspections and random unannounced visits, supervise the implementation of various measures, ensure the sensitivity of "sentinel", and firmly prevent due to responsibilities The spread of the epidemic caused by poor implementation. All localities should further strengthen the detection and management of new coronavirus nucleic acids, and include the above-mentioned personnel discovered through "sentinel" into the "exhaustive inspection" scope. After confirming that the nucleic acid test result is negative, the control measures should be released in time and the "health code" should be adjusted back to the normal state. Various "sentinel points" have failed to implement measures such as testing, registration, reporting, and guidance, leading to "unchecked", to carry out a responsibility check, and to hold relevant institutions and responsible persons accountable in accordance with laws and regulations.