Chinanews.com, December 7th. According to the website of the National Health and Medical Commission, the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council in response to the novel coronavirus pneumonia epidemic issued the "Notice on Further Optimizing the Medical Treatment Process and Doing a Good Job in Current Medical Services" on the 6th. The full text is as follows :
Joint Prevention and Control Mechanism Comprehensive Issue [2022] No. 114
All provinces, autonomous regions, municipalities directly under the Central Government, and Xinjiang Production and Construction Corps' joint prevention and control mechanism (leading group, headquarters) in response to the new crown pneumonia epidemic:
In order to guide medical institutions to further optimize the medical treatment process, do a good job in current medical services, meet the medical needs of the people, minimize hospital cross-infection, and ensure the safety of patients and medical staff, according to the overall arrangement for epidemic prevention and control, the following requirements are hereby put forward:
1. Basic principles
According to the CPC Central Committee's measures to further optimize the epidemic prevention and control work, adjust the diagnosis and treatment process of medical institutions accordingly, optimize the testing requirements and the layout of medical institutions' diagnosis and treatment areas, maximize the availability of medical resources, and ensure the safety and order of medical treatment to the greatest extent.
2. Optimizing the medical treatment process of outpatient emergency department and fever clinic
All medical institutions should continue to do a good job in the outpatient pre-examination and triage work, and check the 48-hour nucleic acid test results of the patients through various methods such as appointment diagnosis and treatment platforms and on-site presentations.
The outpatient area should be divided into a nucleic acid positive diagnosis and treatment area and a nucleic acid negative diagnosis and treatment area to receive corresponding patients respectively.
For emergency patients, the treatment should not be affected by the lack of 48-hour nucleic acid results.
Those with 48-hour nucleic acid test results will go directly to the emergency treatment area, and those without 48-hour nucleic acid test results will be treated in the emergency buffer area, and antigen and nucleic acid will be checked at the same time.
For patients with fever and respiratory symptoms, etc., guide them to fever clinics, conduct antigen or nucleic acid testing, and provide corresponding diagnosis and treatment services.
Medical institutions should strengthen the management of fever clinics as required, and further enhance the service capabilities of fever clinics by expanding areas, increasing clinics, and enriching medical resources.
Without the consent of the health department, medical institutions are not allowed to close fever clinics without authorization.
3. Optimizing the admission and treatment process of inpatients
Medical institutions should conduct nucleic acid tests on admitted patients, and conduct antigen or nucleic acid tests as needed after admission.
Focus on patients over the age of 65 with serious underlying diseases (tumors, respiratory diseases, cardiovascular and cerebrovascular diseases, chronic renal failure, autoimmune deficiency diseases, etc.) If it is positive, it is necessary to pay attention to the changes of the condition in time and strengthen medical treatment.
Medical institutions should arrange relatively independent areas (campus, buildings, wards or wards) to treat nucleic acid positive patients, and the medical staff should be relatively fixed.
For hospitalized patients, it is still strictly enforced not to visit, not to accompany unless necessary, and for fixed escorts who really need to be accompanied, strict protection is strictly prohibited during the escort period, and it is strictly forbidden to go out.
Patients in the emergency observation ward are managed as inpatients.
4. Caring for medical staff
All medical staff in medical institutions strictly implement infection prevention and control measures, and correctly select and wear medical protective masks.
Medical institutions shall organize antigen or nucleic acid testing for their medical staff according to work needs.
For medical personnel with fever and respiratory symptoms, etc., antigen testing can be carried out first, and according to the medical personnel's health status and test results, they can be arranged to work in the corresponding diagnosis and treatment area or to monitor their health at home.
Medical institutions should implement measures to care for and care for medical personnel, do a good job in health monitoring and vaccination of medical personnel, and dynamically optimize and adjust the organization of medical personnel, medical force allocation, and work shift arrangements according to the epidemic prevention and control situation and the actual clinical treatment.
5. Ensure normal medical services
Medical institutions must ensure the normal operation of diagnosis and treatment work, provide medical services for patients, and must not affect routine diagnosis and treatment and emergency and critical care due to the admission of positive patients. In particular, they must do a good job in the medical treatment of patients with serious underlying diseases such as chronic renal failure and tumor radiotherapy and chemotherapy. Serve.
All localities should provide necessary guarantees for medical institutions to effectively perform their duties, and create a good legal environment, policy environment and social atmosphere.
Infection determination in medical institutions requires full investigation, scientific analysis, and comprehensive research and judgment, and scientific protection must minimize the occupational exposure of medical personnel to ensure the safety of medical personnel in practice.
It is necessary to strengthen incentives for medical personnel and encourage medical personnel to provide medical services for patients.
It is necessary to strengthen publicity and guidance, so that the whole society can scientifically and rationally understand infectious diseases and their risks, and promote a harmonious relationship between doctors and patients in various ways.
Attachment: Peking Union Medical College Hospital's recent epidemic prevention and control practices for reference
State Department Response to Novel Coronavirus Pneumonia
Comprehensive Group of Epidemic Joint Prevention and Control Mechanism
December 6, 2022