Recently, the observation guide of home isolation during the novel coronavirus epidemic was released. This guide is suitable for guiding and standardizing the work related to home isolation observation in communities. The specific matters are hereby notified as follows:
First, the basic conditions of home isolation observation
The residence of home isolation observers must be professionally evaluated by community medical personnel. Do not meet the conditions of home isolation, all centralized isolation.
Hardware facility evaluation
1. The living place is equipped with a kitchen and a bathroom, which can be used independently.
2. The smoke exhaust facilities in the kitchen should be provided with check valves or directly discharged to the outside through pipes.
3. The drainage pipes of kitchen sinks and other appliances should be closely connected with the drainage system. If plug-in connection is used, it should be sealed.
4. The exhaust pipe of the toilet should be provided with a check valve or have ventilation conditions.
5. In addition to the toilet's own trap, other sanitary appliances must be equipped with a trap below the drain; The floor drain should be equipped with a water seal device, and the drain pipes of washbasins and other appliances should be closely connected with the drainage system. If plug-in connection is used, it should be sealed.
6. The living place should have good ventilation conditions and external windows that can be opened independently.
7. Semi-basement, basement and other places with poor ventilation conditions are not recommended as home isolation places in principle.
8. If the residence is close to public roads and there is no physical isolation such as green belts, it is suggested to add temporary physical isolation facilities.
Support condition evaluation
1. If no one lives together, the home isolation observer should have complete self-care ability and be able to live independently.
2. If there are people who live together, it is necessary to arrange a well-ventilated room for the isolated observers at home separately, and special toilets can be provided if conditions permit, such as daily cleaning and disinfection of the shared toilets.
3. The community has living security conditions.
4. If the building unit where the home isolation observer is located is undergoing renovation, the construction shall be suspended and the exposed nozzle shall be temporarily closed.
Second, the prevention and control requirements of home isolation observers
Don't leave home
During the period of home isolation observation, you must stay indoors and don't go out to take out the garbage, send and receive express delivery, etc. , and deny all access. Anyone who goes out without permission will be transferred to centralized isolation. If serious consequences are caused, legal responsibilities will be investigated according to law. In the process of opening the door, such as collecting goods, putting garbage, sampling nucleic acid, etc., you should wear a medical protective mask and do a good job of hand hygiene before and after opening the door.
Living alone in principle
In principle, home isolation observers should live alone. If there are people living together, contact with them should be reduced as much as possible during the isolation period to avoid sharing tableware, towels, bath towels, sheets and other items. Take a separate meal system and use special tableware. Use a private bathroom whenever possible. When taking care of the elderly, infants and other family members who can't take care of themselves, they should wear masks and do a good job in hand hygiene.
Nucleic acid detection and antigen detection
1. High-risk population. Nucleic acid was detected on 1 0, 4, 7 and 10, respectively, and the results were all negative before the home isolation was lifted. If it has been more than 10 days when you log in, you need to complete two nucleic acid tests within 3 days, and the interval between the two nucleic acid tests is 24 hours.
2. People from high-risk areas in China and others who need to be isolated at home. The standards for nucleic acid detection and antigen detection shall be implemented with reference to the current Regulations on the Isolation of Returnees from High Places in Risk Areas Related to Epidemic Situation.
3. Entry personnel. Nasopharyngeal swabs were collected for nucleic acid detection on the 2nd, 4th and 7th day after home isolation. After the 7th day, all three samples were negative, and antigen self-test was performed on the 3rd and 5th day. All the test results are negative, or the isolation can be lifted only if the antigen test is positive, but the nucleic acid reexamination of nasopharyngeal swab is negative.
Do a good job of self-monitoring
Take the temperature 1 time at least every morning and evening, and report to the community voluntarily. Pay close attention to whether you have COVID-19-related symptoms such as fever, dry cough, fatigue, expectoration, sore throat, diarrhea, abnormal taste, abnormal smell, stuffy nose, conjunctivitis and myalgia. , if there is any abnormality, contact the community medical staff immediately and see a doctor as required.
Take the initiative to report medical history
Home isolation observers should take the initiative to report personal basic diseases and past medical history to the community, and the elderly, pregnant women, young children and people suffering from basic diseases such as cardiovascular and cerebrovascular diseases and mental diseases, as well as those with special treatment needs and medication needs, must accurately inform the community staff about the situation. In case of emergency, contact family members or staff of community health service institutions at the first time, or directly call 120, 1 10 for help, clearly inform yourself that you are a home isolation observer, and seek medical treatment in time.
Room ventilation and disinfection
Every morning and evening at least 1 time, each time for more than 30 minutes. At least 1 room wet cleaning shall be carried out every day, with cleaning as the main task and preventive disinfection as the supplement. Every time you clean up the garbage, you should seal the garbage bag tightly, and disinfect its outer surface and seal before putting it in front of your home. The specific disinfection method shall be implemented according to the guidelines for preventive disinfection during the epidemic of pneumonia in novel coronavirus.
Keep communication open
Home isolation observers must keep mobile phones and other communications open and keep in touch with the community at any time. People who really need care, such as the old, the young, the sick, the disabled, etc., must identify the people who live with them or emergency contacts.
Requirements of cohabitants
Residents living together must implement control measures together with home isolation observers.
Strengthen drainage management
During the isolation period, the floor drain in the bathroom and shower room should be filled with water in time, and the water should be injected more than twice a day, with each time not less than 350ml, or the floor drain should be blocked with odor-resistant devices such as silica gel pads and odor-resistant floor drain cores. When flushing the toilet, cover the toilet seat before flushing.
Third, community work requirements
Conduct environmental assessment
Community medical personnel should make a professional evaluation of the internal and external living environment of home isolation observers. Do not have the conditions, shall not be used as a home isolation observation place.
Fulfill the obligation of informing
By written or electronic notification, etc. , to clarify the responsibilities and obligations of epidemic prevention and the possible legal responsibilities for not complying with epidemic prevention requirements to the home isolation observers, and to inform them of the names, contacts and contact information of the community health and medical institutions they can contact in case of health problems.
Strengthen technical defense measures
Install door magnetic alarm device, install camera conditionally, and provide portable intelligent temperature measuring sticker.
Conduct health monitoring
Every morning and evening, community medical staff should record the body temperature and health status of home isolation observers and co-residents. COVID-19-related symptoms, such as fever, dry cough, fatigue, expectoration, sore throat, diarrhea, abnormal taste, abnormal smell, stuffy nose, conjunctivitis, myalgia, etc. Was found and immediately reported to the local health department.
Tissue nucleic acid detection and antigen detection
According to the requirements of epidemic prevention, the health department organized professional institutions to carry out nucleic acid testing for home isolation observers, organized community medical personnel to guide home isolation personnel to carry out antigen testing, and strengthened training related to antigen testing. If the nucleic acid test results are negative after the expiration of the observation period, the isolation shall be lifted in time and the health code shall be decoded.
Meet medical needs
Community medical staff should focus on the situation of special groups such as cardiovascular and cerebrovascular diseases, chemotherapy and dialysis, and provide necessary medical and health services in time. When home isolation observers need to go out for medical treatment, they should provide medical treatment services in a timely manner in accordance with the relevant provisions of the Notice on Further Strengthening the Management of Fever Outpatients and Medical Services.
Provide security services
Provide basic living security and other necessary services for home isolated observers, respond to demands in time, pay attention to their physical and mental health, and do a good job in psychological counseling and humanistic care.
Strict garbage disposal
The garbage generated by home isolation observers should be placed in a special trash can and cleaned up every day. Before cleaning, chlorine-containing disinfectant containing 500 mg/L ~ 1000 mg/L or other effective disinfectant should be sprayed until it is completely wet, and then the plastic bag should be tightly tied and treated as ordinary domestic garbage.
Strengthen ventilation and disinfection
Community workers should open windows and ventilate the floors and corridors where family isolation observers are located. Disinfect corridors, stair handrails, door handles, elevator buttons and other parts that people contact more every day.
Do a good job of personal protection
Personal protection should be done when going to work. Wear disposable working cap, N95 mask, work clothes and disposable gloves, and keep the distance above 1 meter.
Fourth, others.
Personnel who conduct home isolation observation in the community shall be implemented by the community prevention and control group and the rural prevention and control group in accordance with the division of responsibilities.
Isolated observers living in the workplace shall refer to this guide, and the relevant functional groups of the municipal epidemic prevention and control leading group shall be responsible for organizing the implementation.
Gaoyang county responds to COVID-19 epidemic.
Work leading group office
May 29(th), 2022