Epidemic prevention and control丨Beijing further improves medical services during the city’s epidemic prevention and control period

Accurately grasp the medium to high risk range.All medical institutions should update and understand the epidemic sites such as buildings, village groups, etc., where cases occurred in a timely manner in accordance with the epidemic information released by the country. More than 2 cases occurred within the first 14 days in communities (villages) and other medium- and high-risk areas, and there were 1 or more cases. The area of ​​the county (district, city, banner, municipality directly under the Central Government, and sub-provincial city districts) where the report is located will ensure the safety of doctors and patients and make it convenient for patients to seek medical treatment.

Accurately grasp medical management.All medical institutions will initiate epidemiological contact history inquiry and check the status of nucleic acid testing for hospitalized patients from all regions (cities) where confirmed cases of the new crown occurred in China. Nucleic acid testing and other measures to prevent and control hospital infections. Persons who come to (return) from Beijing for medical treatment in high-risk areas should, in principle, complete isolation and observation and seek medical treatment. If it is really necessary to seek medical treatment, the district should do the relevant work in accordance with the medical procedures of personnel in the controlled area; other places (cities) where the cases occurred should come (return) In principle, non-emergency and critically ill patients in Beijing will be treated with a certificate of negative nucleic acid test within 48 hours. If the test result exceeds 48 hours, the medical institution will make a comprehensive judgment based on the patient’s epidemiological history, chief complaint, symptoms, and auxiliary examinations. For the critically ill patients who really need emergency treatment, they should be rescued as soon as possible while strengthening the protection, and do a good job of personnel protection and terminal disinfection in strict accordance with the requirements of hospital infection prevention and control.

Accurately grasp the management of fever clinics.After registering in fever clinics, nucleic acid tests should be performed as soon as possible, and corresponding examinations should be arranged as soon as possible. Patients are not allowed to leave on their own while waiting for the results of the inspection and before the new coronavirus infection has been ruled out. For fever patients who refuse to obey the hospital management requirements, move outside the restricted area or leave the hospital without authorization, the hospital will report to the local health department and the police station (local police station) and deal with it.

Care and care for residents in isolation and observation, and provide standardized and accessible medical services.If there is a controlled community (village) in each district, a medical service team should be established as soon as possible. The medical service team, mobile medical vehicle or on-site medical staff should be sent to the controlled community (village), centralized isolation observation point, etc., to meet the basic needs of residents. Medical needs. For chronically ill patients who need to prescribe drugs on a regular basis, it can be solved by prescribing drugs on their behalf and delivering drugs to the door. The district health and health commissions shall designate regional medical institutions as designated hospitals for the treatment of critically ill patients in the control area, isolation and observation personnel, and designate community health service institutions to monitor the health of relevant personnel. If the isolation observation personnel in the controlled area need to go out for medical treatment, the relevant medical personnel shall be arranged to evaluate first, and try to provide services for the patient in the community; for fever and other symptoms, it is necessary to go out for medical treatment, the controlled community or isolation observation point Assist in calling the ambulance and transfer to the designated hospital in a closed loop; for non-emergency patients who are known to be medically planned, the community or isolation observation point should try their best to arrange for them to complete the nucleic acid test in the community or isolation observation point in advance to reduce the patient’s waiting time in the medical institution. For those in the city’s controlled areas and isolation observation personnel who have completed nucleic acid testing before seeing a doctor, the receiving medical institution does not need to repeat the test within 24 hours.

Caring for hemodialysis patients, and do a good job of connecting services.Medical institutions that carry out hemodialysis should carry out nucleic acid tests on dialysis patients in accordance with the requirements of “all inspections” and establish a time-based dialysis mechanism. After the end of routine dialysis, set up a special time period and area for patients with indications but not yet ruled out of new coronary pneumonia, or patients in medium- and high-risk areas in the observation period for hemodialysis, and make an appointment with the patient in advance for dialysis time, and where the patient is in the observation period The community does a good job of connecting services.

Care for pregnant women and open up green channels.If there is a sudden abnormal situation in the control area of ​​pregnant women who need to go out for medical treatment, pregnant women should contact the filed midwifery agency in advance and inform the community where they are located. The community should assist in calling the ambulance, and transfer to the filed midwifery agency in a closed loop. Midwifery agencies should open up green channels to provide isolated birth check-ups, hospitalization and delivery services. After diagnosis and treatment or delivery, the pregnant women will be returned by ambulances.

Caring for people with special psychological needs, and carry out psychological counseling in a timely manner.Psychological rescue teams and medical assistance teams for epidemic prevention and control in all districts shall participate in the work of the regional medical teams to control and provide psychological assistance hotlines, online psychological assessments and psychological assistance services for those in need.

One isWhen in crowded indoor places such as shopping malls, supermarkets, cinemas, conference venues, exhibition halls, airports, docks and hotel public areas;

two isWhen taking van elevators and public transportation such as planes, trains, ships, long-distance buses, subways, buses, etc.;

Three isWhen in outdoor places such as crowded open-air squares, theaters, parks, etc.;

Four isWhen attending a doctor, accompany in the hospital, when undergoing health checks such as temperature testing, health code verification, and travel information registration;

Five isWhen symptoms such as nasopharyngeal discomfort, coughing, sneezing and fever occur;

Six isWhen the restaurant or canteen is in a non-eating state.

One isWear a mask correctly, make sure that the mask covers the mouth, nose and chin, and the nose clip should be compacted;

two isMasks must be replaced in time when they are dirty, deformed, damaged, or peculiar, and the cumulative wearing time of each mask should not exceed 8 hours;

Three isIt is not recommended to reuse masks that have been used in cross-regional public transportation or in hospitals and other environments;

Four isMasks that need to be reused should be hung in a clean, dry and ventilated place when not in use;

Five isIf you feel stuffy, short of breath and other discomforts while wearing a mask, you should go to an open and ventilated place to remove the mask immediately;

Six isWhen you go out, you should bring spare masks and store them in the original packaging bags or clean storage bags to avoid squeezing and deformation. Discarded masks are classified as other garbage for disposal.

In addition, it is recommended that the public keep some high-level masks daily in their homes. When family members have symptoms such as nasopharyngeal discomfort, coughing, sneezing, and fever, they should wear higher-level masks when they go to the hospital to prevent the risk of disease transmission.