Notice on Strengthening the Prevention and Control of Infection in Medical Institutions
In order to fully implement the arrangements made by the central authorities, provinces and municipalities for the prevention and control of the epidemic situation in COVID-19, continue to consolidate and expand the trend of epidemic prevention and control in our city, and further strengthen the prevention and control of infection in medical institutions, the relevant matters are hereby notified as follows:
1. Continue to do a good job in medical treatment. In accordance with the requirements of the higher authorities, we will continue to do our best to treat COVID-19 patients in our city, so that the designated hospitals will not be cancelled, the isolation wards will not be compressed, and the number of beds under observation will not be reduced. We will retain the three expert teams, namely, the city and county expert teams, the medical treatment team, the infection prevention and control team and the Chinese medicine medical service team, and give full play to the guiding role of the city and county expert teams in clinical diagnosis and treatment. Non-emergency patients should be fully registered by appointment. Except for emergency and fever clinics, all patients should make an appointment before seeing a doctor. Medical institutions at or above the second level should announce the relevant appointment diagnosis and treatment methods to the public, so as to ensure that patients can make an appointment through hospital outpatient appointment registration telephone, Internet, WeChat WeChat official account and other ways to minimize the gathering of people.
second, highlight key parts and strengthen the management of key links. Guide all kinds of medical institutions at all levels to actively do pre-inspection and triage, standardize the setting of 26 existing fever clinics, strictly implement the management requirements of "three districts and two channels", and take observation measures for suspected cases at the first time. Each isolation observation ward is equipped with an independent bathroom, and the isolation observation ward is closed for management, and no escort or visit is arranged. Patients under isolation observation are not allowed to leave the isolation observation room unless they need medical treatment. Do a good job in the management of medical treatment for entry quarantine personnel and those who come to Thailand in key epidemic areas, and strictly separate the diagnosis and treatment process from the entrance and exit of other diagnosis and treatment groups, the diagnosis area, the personnel and the treatment route. All medical institutions should set up pre-inspection triage points in outpatient clinics, check the wearing of masks, take temperature, check health codes, seriously ask about epidemiological history, check identity information and make appointment registration information. Health authorities will regularly and irregularly go deep into medical institutions to supervise and inspect the standardized construction of fever clinics and pre-inspection clinics. To implement the responsibility system of first diagnosis, the medical staff of fever clinic should master and implement the prevention, control, diagnosis and treatment plan of COVID-19. It is necessary to strengthen personal protection and standardize the collection, transportation, preservation and detection of nucleic acid samples in Covid-19. Suspected or diagnosed patients in COVID-19, medical personnel shall promptly report and isolate them in accordance with the relevant provisions, and promptly transfer them to designated hospitals for further diagnosis and treatment, and shall not allow patients to transfer or leave the hospital without authorization.
Third, further strictly implement the prevention and control measures of hospital infection. Guide all kinds of medical institutions at all levels to improve emergency plans and work processes, and standardize disinfection, isolation and protection of medical staff. Continue to strengthen the management of patients' income in hospitals, and medical institutions should formulate the screening process for patients during the epidemic. Patients admitted to the hospital and accompanying staff should be tested for serum antibodies, and high-risk groups should be tested for CT and nucleic acid. Conditional medical institutions can set up a transitional ward to treat patients in new income hospitals in a single room, and then transfer them to a conventional ward for further hospitalization after Covid-19 infection is excluded, so as to reduce the risk of potential cross-infection in hospitals. Strengthen the management of accompanying visitors and ward management, strengthen high-quality nursing services, and implement unnecessary non-accompanying and non-visiting. Encourage medical institutions to carry out video visits, and if they have to accompany and visit, they should strictly limit and do personal protection. For the accompanying personnel, do a good job in body temperature detection, health screening and information registration, and strictly limit their activities. Actively promote the implementation of partition management, strengthen the management of access control and security in wards, and prohibit irrelevant personnel from entering and leaving at will. Strengthen the material reserve of medical institutions, and ensure adequate reserves of drugs, reagents and protective articles needed for daily medical services and epidemic prevention and control.
Fourth, strengthen the management of screening asymptomatic infected people. Continue to adhere to the "five unifications", all close contacts will be isolated from medical observation, all nucleic acid tests will be carried out, and the population and scope of testing and screening will be expanded. All asymptomatic infected people were reported directly on the Internet within 2 hours after discovery, and sent to designated medical institutions for isolation observation and treatment, and imaging examination, routine blood test and preventive services of traditional Chinese medicine were carried out; After discharge, we will concentrate on isolation observation for 14 days according to the regulations, and do a good job in long-term health management after discharge with reference to confirmed cases.
5. Strengthen the management of discharged patients in COVID-19. Strictly implement the follow-up visit and nucleic acid detection of patients on 14 days, 28 days, 3 months and half a year after discharge, implement the group service management of designated hospitals, disease control institutions and primary health institutions, ensure that "there are people who are discharged from hospital", "there are people who are in charge of isolation", "there are people who are doing rehabilitation" and "there are people who are visiting at home", realize the full closed loop of in-hospital treatment and discharge management, and ensure that all system requirements are implemented.
VI. Strengthen the detection of nucleic acids in Covid-19 and expand the detection scope. On the basis of improving the nucleic acid detection capacity of nine existing medical institutions in our city, other qualified hospitals are encouraged to actively carry out nucleic acid detection. 12 categories of personnel, such as four categories of people, fever outpatients, hospitalized patients and their accompanying staff, overseas entry personnel, people coming to Thailand and returning to Thailand in key epidemic areas, key students, personnel in special places, medical staff in medical institutions, teachers, service personnel in public places, quarantine inspectors at ports, and those recommended by medical and health institutions and epidemic prevention and control institutions, shall be subject to "due inspection". Timely sampling inspection of key industries such as community workers and volunteers, maternal and child service personnel, etc. According to the principle of "voluntary, self-funded", the broad masses are "willing to do all the inspection". Qualified testing institutions should open testing services to units and individuals in need and provide testing certificates. Strengthen the sharing and social application of test result information.
VII. Strictly implement standard prevention. We will continue to play the role of a lecture hall for experts in hospital infection prevention and control in our city, and hold regular hospital infection business training. Medical institutions should strictly implement standard prevention, and all kinds of personnel entering medical institutions should correctly choose and wear masks and carry out hand hygiene correctly. It is necessary to strengthen the cleaning and disinfection of the diagnosis and treatment environment, do a good job in ventilation management, implement the requirements of zoning management, rationally divide clean areas, potential pollution areas and pollution areas, and distinguish between medical personnel channels and patient channels. Medical staff should use protective equipment correctly and reasonably in the process of diagnosis and treatment, and on the basis of standard prevention, additional protection should be carried out according to the risk of diagnosis and treatment operation.
Tai 'an Municipal Committee Leading Group for Epidemic Disposal
May 7, 2121