Guidelines for home health monitoring of epidemic situation in COVID-19

1. Applicable objects

Employees in high-risk posts who have finished closed-loop operations, discharged persons infected with COVID-19 and other people who need home health monitoring after professional evaluation.

second, the site requirements

choose to live in a well-ventilated room and try to remain relatively independent.

if conditions permit, try to use a separate bathroom and avoid sharing the bathroom with other family members.

Personal protective equipment such as thermometers, paper towels, medical protective masks, disposable gloves, disinfectants, disinfection products and trash cans with lids should be provided in the room.

iii. management requirements

community service requirements.

1. register. Street and community workers should strengthen the arrangement and information registration, keep abreast of the information of people returning to their home health monitoring, get in touch with home health monitoring personnel in time, verify the information, inform the relevant requirements of home health monitoring by issuing a home health monitoring notice, and register in accordance with the requirements of "one file per household" or "one file per person" and incorporate it into community grid management. Master the situation of special personnel in home health monitoring, such as elderly people living alone in empty nests, patients with basic diseases, pregnant women, hemodialysis patients, etc., establish a ledger, and do a good job in necessary life support and care services. Streets and communities can strengthen the education and guidance of home health monitoring by means of notice, letter and WeChat, reminding the community that home health monitoring personnel should take the initiative to get in touch with the community, report in time, and urge them to do a good job of home health monitoring as required.

2. Monitoring information collection. Streets and communities can regularly ask and collect the temperature, symptoms and other information of home health monitoring personnel twice a day in the morning and evening by establishing WeChat groups and small programs. If anyone with fever, dry cough, fatigue, sore throat, decreased sense of smell, diarrhea and other symptoms is found, report it immediately, and a special person will contact 121 negative pressure ambulance and be sent to a fever clinic or a designated medical institution for medical treatment according to the principle of proximity.

management requirements for home health monitoring personnel.

1. Health monitoring. Personnel who carry out home health monitoring measure their body temperature 1 times every morning and evening, do a good job in symptom monitoring and report to the community truthfully. If there are symptoms such as fever, dry cough, fatigue, sore throat, decreased sense of smell, diarrhea, etc., you should immediately inform the community workers and cooperate with them to go to medical institutions, and truthfully inform the medical staff of their epidemiological history when they see a doctor.

2. Travel restrictions. During the period of home health monitoring, I should strictly implement not going out unless necessary, and do personal protection when going out under special circumstances such as medical treatment, and wear N95/KN95 particle protection mask regularly to avoid taking public transportation.

3. nucleic acid detection. Home health monitoring personnel should cooperate to complete nucleic acid detection according to the prevention and control requirements.

4. Health and epidemic prevention requirements.

keep the house ventilated, and try to open the doors and windows for ventilation every day.

do a good job in cleaning the home environment, and regularly ventilate and disinfect the toilet, bathroom and other * * * enjoyment areas; Regularly disinfect the surfaces of daily high-frequency contact items such as door handles, mobile phones and switches.

Do a good job in hand hygiene, pay attention to cough etiquette, cover your mouth and nose with paper towels when coughing or sneezing, or cover your mouth and nose with the inside of your elbow, and throw the used paper towels into the trash can. If you contact respiratory secretions, wash your hands or disinfect your hands immediately.

Try not to use daily necessities with other family members, avoid close contact with family members, and advocate separate meals during meals.

iv. guarantee requirements

organizational guarantee. Streets and communities should organize special personnel to be responsible for the management of home health monitoring personnel, clarify their responsibilities, implement the 24-hour duty system, find problems in time and solve problems in time. Establish an information sharing mechanism and regularly report the management of home health monitoring personnel.

material security. The community should reserve enough protective materials, nucleic acid testing and sampling materials and disinfection materials.

psychological assistance and social work service. Inform home health monitoring personnel of the telephone number of psychological assistance hotline, provide psychological support, psychological counseling and other services, alleviate negative emotions, prevent and alleviate psychological distress caused by the epidemic, and prevent extreme events caused by psychological pressure. When mental health problems are found in home health monitors, they will be referred to their counterparts' mental health medical institutions in time.