China News Service, July 13 (Xinhua) According to the official website of the National Health and Health Commission, the State Council's response to the new coronary pneumonia outbreak joint prevention and control mechanism medical treatment team has recently issued a "Notice on Normalizing the Treatment Process of Medical Institutions under Normalized Prevention and Control of Outbreaks." The notice is clear, implement the outpatient and emergency department pre-examination and triage system, and conduct temperature testing of all personnel at the outpatient department and emergency department entrance; strengthen the treatment of acute and critically ill patients; medical institutions should establish green channels for the treatment of acute and critically ill patients. Patients should be tested for nucleic acids while actively rescuing; they should not delay treatment or excuse critically ill patients on the grounds of epidemic prevention and control.
The notice requires that the outpatient and emergency department pre-examination and triage system be implemented. Medical institutions should implement a pre-examination and triage system, and perform temperature testing on all personnel at the outpatient and emergency entrances; experienced medical staff at the pre-examination and triage points ask about symptoms, signs, and epidemiological history; Inquiries about the symptoms of new coronary pneumonia and the history of epidemiology. For patients who cannot be excluded from the new coronary pneumonia found in the pre-screening triage, special personnel should be arranged to guide to the hot clinic according to the designated route; for patients who require out-patient examination and treatment after the pre-screening triage to exclude the new coronary pneumonia, the new crown is no longer targeted. Pneumonia nucleic acid detection and CT examination.
The notice requires that the treatment of acute and critically ill patients be strengthened. Medical institutions should establish a green channel for the treatment of critically ill patients. For patients who cannot rule out new coronary pneumonia, nucleic acid detection should be carried out while actively rescuing. It is not possible to delay treatment or blame critically ill patients for reasons of epidemic prevention and control. A buffer zone should be set up in the emergency room, operating room, and ward for emergency treatment of critically ill patients in cases where nucleic acid test results have not yet been obtained. At the same time, personnel protection should be strictly in accordance with the requirements of hospital sense prevention and control. Medical institutions must issue test results for nucleic acid testing of critically ill patients in an expedited manner. The time for providing test results should not exceed 4-6 hours. Rapid testing techniques can be used if possible, to minimize the testing time for critically ill patients. For medical institutions that blame patients, the primary person in charge of the medical institution should be held accountable.
The notice requires that the management of regular follow-up visits and long-term treatment of patients be managed. All localities should do a good job in the diagnosis and management of patients who need regular referral and long-term treatment for hemodialysis, tumor radiotherapy and chemotherapy, and pregnant women's obstetrics. For the above-mentioned patients from low-risk areas, after the first nucleic acid test is negative, if they return to the medical institution for re-diagnosis and treatment, it is possible to rule out the possibility of new coronary pneumonia after pre-examination triage and physician consultation, and there is no need to repeat nucleic acid tests and CT examinations. In middle and high-risk areas and the above patients from middle- and high-risk areas, local health departments shall determine and publish designated medical institutions to guide patients to seek medical treatment. Relevant medical institutions should do a good job of connecting patient diagnosis and treatment information to ensure medical safety. The designated medical institutions should set up special areas, make appointments with patients in advance, specify the docking arrangements for special personnel, and realize special area diagnosis and treatment in special time periods. The medical staff shall perform personal protection in accordance with the requirements of hospital sense prevention and control. After the diagnosis and treatment, the relevant areas and equipment shall be terminally disinfected. The above patients are excluded from the possibility of new coronary pneumonia after pre-examination and triage and doctor consultation, and there is no need to repeat nucleic acid detection and CT examination.
The notice requires scientific protection. Medical institutions must strictly implement standard preventive measures. People entering medical institutions are required to wear masks correctly. All staff in medical institutions wear surgical masks, work clothes/white coats, and implement hand hygiene in accordance with standard prevention requirements. Strengthen the ventilation of the diagnosis and treatment environment, and do a good job in cleaning and disinfecting the diagnosis and treatment environment, medical equipment, living areas and facilities. When medical personnel perform close-up operations on patients and are at risk of infection, they wear medical protective masks, and when necessary, wear goggles or protective screens.
The notice also requires that the medical staff's awareness and ability of epidemic prevention and control be enhanced. Medical institutions should carry out knowledge training on epidemic prevention and control to ensure that all medical personnel in contact with patients are proficient in the knowledge and skills of prevention and control of new coronavirus infection, and have the awareness and ability to investigate new coronary pneumonia. Initial screening of patients will be conducted through body temperature testing, interrogation of relevant epidemiological history and symptoms and signs. When a patient with high suspicion is found, take measures to isolate or control the transmission according to law, and take necessary preventive measures for the person accompanying him.