New crown pneumonia hospital infection emergency response plan occurs in ordinary ward

In order to further strengthen the new type of coronary virus pneumonia prevention and epidemic prevention, improve the ability of new coronary pneumonia hospitals, effectively control the popularity of new coronary pneumonia hospitals, quickly cut off the transmission pathway, prevent the spread of epidemic conditions, and maximize the reducing the new coronary virus in the hospital Cross -communication risks, ensure medical quality and medical safety, ensure the safety of staff and hospitalizations and their family members of the ward, and according to the “Infectious Disease Prevention Law”, “New Coronary Virus Infection Prevention and Control Technology Guide (first edition) “(National Health Office Medical Letter (2020) No. 65) requirements, combined with the actual situation of our hospital, formulated a prevalent emergency response plan for closed floors after the infection of a new type of coronary virus pneumonia hospital in our hospital.

1. Scope of application

It is suitable for patients, patients or their families, and accompanying patients in non -isolated ward in the hospital.

2. Early warning mechanism

1. Strengthen training

Hospitals and departments should strengthen the training of new coronary pneumonia related knowledge, so that they are proficient in the prevention and control knowledge, methods and skills of the new coronary virus infection, so as to achieve early, early reports, and early control to avoid the spread of infection.

2. Strengthen hospital infection monitoring

The sensing groups of each department shall conduct new coronary pneumonia monitoring on the department staff, patients and family members in accordance with regulations. When they find that patients with pneumonia who are suspected or confirmed or diagnosed with new coronary virus infections, they should report and deal with them in time in accordance with relevant requirements.

3. Hospital infection warning and treatment

Once the department has a new crown pneumonia, patients immediately start a first -level warning at the hospital infection, and immediately report to the Ministry of Medicine and the Department of Hospitals, and do a good job of local isolation. Plan; internal notification of the hospital to report to the competent health administrative department at the same time.

Third, the closed floor isolation emergency response plan

(1) The principle of disposal work

Investigation and control measures are carried out in the process of disposal; unified leadership, class responsibility, and responsibility to others; actively take measures to prevent the expansion of the infection of new crown pneumonia hospitals.

(2) Organization and responsibilities

1. Emergency leadership group

Team Leader: Secretary

Deputy Leader: Other Deputy Dean in charge of deputy dean

Members: Institute, Medical Department, Nursing Department, Public Health Section, Public Health Section, Inspection Division, Pharmacy Department, Equipment Division, General Affairs Department, and Security Section and other heads of new crown pneumoniacies and heads of nurses.

Responsibilities: Responsible for unified leadership and command, organize and coordinate emergency disposal work such as closed floors. The final judgment was made to the establishment of the infection of the new crown pneumonia. Determine whether this plan is started and terminated. Study and formulate the floor closed -type isolation control measures during the new crown pneumonia. Responsible for the release of external information. Report to the Health and Health Bureau and the Center for Disease Control in accordance with regulations.

2. Medical treatment leadership group

Team leader: in charge of the deputy dean of medical care

Deputy Leader: Medical Minister

Member: Expert Group, Director of various departments, Director of various departments, doctors of departments, and party members of the new departments

Responsibilities: Responsible for consultation and discussion of suspected cases, collecting specimens, clear diagnosis and active treatment or transfer; responsible for the launch and termination of this plan. Schedule the medical and health technical force of various subjects to ensure the development of other patients in the department. Responsible for the diversion of the patients and transshipment and transshipment of traditional Chinese medical care, do a good job of other patients and family members of the department and their families of centralized isolation interpretation and emotional guidance to prevent medical disputes. Improve the diagnosis and treatment plan according to the development of the situation and the results of the investigation.

3. Flowing and disinfecting team

Team leader: Public Health Chief

Members of the group: other members of the Public Health Department, Director of Infectious Division and Nurse Corps, Calls Calls Calls Calligraphy

Responsibilities: Responsible for organizing or assisting the Municipal Centers for Disease Control and Prevention to conduct epidemiological investigations on suspected or confirmed cases of new coronary pneumonia, including information on basic information, onset and consultation, risk factors and exposure history, close contact, laboratory testing and other information Investigate, collect, organize, and report, and find and manage close contact. Instruct the disinfecting personnel to properly implement the disinfecting work.

4. Courtyard prevention and control team

Team Leader: Senior Section Chief

Group members: Other members of the Department of Academy, sensor groups of various departments

Responsibilities: Responsible for the closed floor of the infected department of the new crown courtyard (the floor and/or adjacent floor) of the new crown hospital for building layout and workflow planning to meet the relevant requirements of the “Hospital isolation Technical Specifications”; Protection guidance for medical observation points; at the same time, staff (including medical staff, disinfecting people, cleaning staff, etc.) in the closed ward, guide the correct disposal of medical waste and medical fabrics to guide the correctly worn, remove protective supplies, and supervise medical waste and medical fabrics. Occupational protection during the collection and transportation of specimens to prevent cross -infection in the hospital.

5. Disinfection and isolation care team

Team leader: director of the Nursing Department

Group members: Other members of the Nursing Department, Nurse Nurses, and Property Manager

Responsibilities: Responsible for dispatching nursing staff to complete the normal treatment and nursing work of other patients in isolation ward, supervise the cleaning and disinfection of the nursing staff of the isolated ward, and the classification and disinfection work of instruments and equipment Preparation of equipment and disinfection items to ensure that the nursing work operates efficiently, standardized, and orderly.

6. Logistics support group

Team leader: in charge of the deputy dean and chief financial officer of logistics

Members of the group: the heads of the Ministry of Pharmacy, the Equipment, the General Affairs Division, the Security Section and other leaders, the person in charge of the property company

Responsibilities: Responsible for the emergency transformation of the building layout when the ward is closed, and provides isolation emergency supplies, including medicines, equipment, disinfection drugs, personal protective items, preparations for food and daily necessities in isolated areas, ensuring normal supply of hospital water and electricity, etc., providing security work, etc. After receiving the instructions of the closed floor, the equipment department, general affairs, and pharmaceutical section should immediately check and quality maintenance of medical equipment, protective supplies, drugs, disinfection drugs, etc. according to the inventory status and the further leading group of the leadership group. Arrangement and emergency procurement to ensure the smooth progress of emergency work. Supervisory cleaning personnel do a good job in personal protection, strictly implement environmental cleaning and disinfection work, medical waste transfer, and specimens in intra -hospital transfer.

(3) Specific measures for emergency response

1. Report procedure

Non -isolation ward should improve sensitivity, and conduct body temperature monitoring of medical staff, workers, hospitalized patients and their accompanying persons every day. Report the Department of Medicine and Senior Senior Department immediately, and transfer the infected personnel to the Department of Emergency Isolation Cosmetics. Patients who need to treat patients should specify a special person in accordance with the second level of protection (sampled or other invasive operations should be carried out according to the third -level protection). Do diagnosis and care to restrict the entry and exit of unrelated medical staff. Patients need to notify the relevant personnel of the department in advance to wear protective supplies during the inspection department in advance, and will be led by special personnel with secondary protection (wearing work clothes, work caps, medical protective masks, disposable isolation clothes, goggles or face screens, etc.). Complete the relevant inspection at the Inspection Department. The Medical Department organized internal and external experts to consult, and the CDC conducted nucleic acid testing to ensure that “early detection, early isolation, early diagnosis, early treatment” to avoid severe patients.

2. Starting plan

After consultation with experts, once it is determined to be highly suspected of infected with new crown pneumonia, the infected person is transferred to the designated hospital for treatment in accordance with regulations. This plan and organize a meeting of leading groups to study and formulate closed -type isolation control measures based on the volume of patients.

(1) Publish an announcement to the society. The department suspended the reception of patients and did a good job of guidance to the other patients, accompanied and staff members of the department where the department where the department was located. The staff swiped the elevator.

(2) The public health department assists the Municipal Centers for Disease Control and Prevention to conduct an epidemic survey, determine the number of close contacts, and transfer the close contact staff, the patients who meet the conditions of discharge, and their accompanying personnel It is recommended to test the nucleic acid detection of all close contacts.

(3) Classified and isolation of the departmental patients and family members. If the number of patients is small, the floor can be placed closely on the area on one side, and it is in line with a single room (in principle, no accompaniment, if the condition needs to be required, the condition needs Then leave the quarantine requirements that are most closely contacted with the patient), and other non -dense contact patients and their families are isolated in the other side of the ward in the original ward. Then, when the floor is approaching the floor, the patients who are closely contacted and the accompaniment and non -close contacts are resettled by the floor. The observation time is based on the results of the suspected patient nucleic acid test results. During the isolation period Uniformly distributed by the hospital.

(4) The hospital shall provide a special life and rest place for all staff in the area. The staff shall implement the single -person single -room residence and meal system until the isolation is lifted.

(5) After the plan is launched, the emergency disposal of each group should immediately organize personnel to carry out the work in accordance with the division of responsibilities to ensure that the sealing measures on the floor are carried out in a timely and orderly, and the quality of the primary disease treatment and nursing quality of all patients.

(6) Start a zero report system in the ward. Doctors in the ward are reported to the hospital for the patient and the accompanying situation (mainly focusing on whether there are fever and other new crown symptoms) before 11 am every day.

3. Disinfection and isolation requirements

(1) Strengthen the ward environment clean and hygiene and ward ventilation. Daily ventilation is not less than 3 times, and each time it should be 30 minutes. Ultraviolet disinfection rooms can be disinfected with ultraviolet rays for more than 1 hour.

(2) Disinfection of ground and object surface: diagnosis and treatment facilities, equipment surfaces, bed fences, bedside tables, door handles, ground, etc. with 1000 mg/L daily chlorine -containing disinfection solution 2 times, sterilize for 30 minutes, use water after 30 minutes of water. wipe. If the ground and objects have obvious blood stains such as blood stains, first use the water absorption material to take 5000mg/L-10000mg/L, a chlorine disinfection liquid to completely remove the pollutants, and then use 2000 mg/L spray pot of chlorine-containing disinfection agent to align with a water-containing disinfection agent. Blood stains are sprayed around the center along the direction; after 30 minutes of action, use a one -time (scrap) towel to clean, and then treat this towel for medical waste treatment to make a written record of related disinfection.

(3) Patients must be placed in a single room. Try not to contact the patients not to be placed in multiple albums. If you need to place it, you should ensure that the bed distance is greater than 1 meter. In principle, the communication is not visible. The ward should be closed. The accompanying must wear a mask. The patient’s condition allows to wear a mask, and you must not go out or in the aisle activities at will.

(4) Cleaning utensils in the ward are used in strict accordance with partition signs. After use, mop and rag application 1000mg/L is soaked in chlorine -containing disinfection solution for 30 minutes and was washed with water.

(5) Try to choose diagnosis and treatment supplies for one -time use. The diagnosis and treatment equipment, appliances and items that must be reused should be dedicated to the special person. The double -layer red garbage bags are installed in double -layer red garbage bags to indicate the word “new crown” to the supply room for disinfection and sterilization treatment. After 30 minutes of chlorine -containing disinfection solution of 2000 mg/L, it can be treated in accordance with the conventional program.

(6) Patients with observation should be wearing surgical masks when they go out for examination, and they will be sent from special elevators and routes to the inspection room by special personnel according to the requirements of secondary protection. After the wheelchair and flat -car, it should be wiped with 1000 mg/L chlorine -containing disinfection in time.

(7) Medical fabrics such as sheets, quilts, and pillowcases used by suspected or confirmed cases are collected by the nursing personnel according to the three -level protection requirements.

普通病区发生新冠肺炎医院感染应急处置预案

Double layer red

Color bag, stick outside the bag “

New crown

“The words, notify the staff of the pulp washing room to be recovered separately according to the second level of protection, first use 1000mg/L to soak the chlorine -containing disinfection solution for 30 minutes, and then use the hot washing method for cleaning and disinfection; UV lights are disinfected with disinfection, and disinfection machines can also be used for disinfection. If visible blood liquid pollution is treated according to infectious waste.

(8) When the inspection specimen is required, the medical staff should be dressing in accordance with the requirements of the third -level protection. After the collection, the specimen is packed in accordance with the required, and the biological safety transit box is closed and transported to the inspection department for testing. Transporters and inspectors are carried out according to secondary protective wearables. Patients are inspected specimens during the hospitalization period, etc., and arranged special personnel to receive them and do personal protection. Special cleaning personnel and special logistics support personnel.

(9) The domestic waste generated by the closure of the diseased region is collected in a double -layer yellow medical waste bag according to the infectious waste and the medical waste produced. Wake up the “new crown” with a red pen, and notify the medical waste recycling personnel to protect the dress according to the secondary protection, collect the closed transfers to the special rooms to store it, and collect a layer of medical waste bags during the transfer.

(10) The central air conditioner of the ward shall be discontinued. If there is a pollution of the air -conditioning system, please arrange the disinfection of the air -conditioning system.

4. Personal protection and health monitoring of staff members

(1) The hospital’s inductive section conducts on -site guidance, training and supervision of participating in diagnosis and treatment, cleaning, disinfection, medical waste transfer, etc., so that they are proficient in the correct penetration of the new crown virus prevention and control measures and protective supplies.

(2) On the basis of implementing standard prevention, measures such as contact isolation, droplet isolation and air isolation are taken. Specific measures include: a. Entry and out of the isolation ward shall strictly implement the “Hospital isolation Technical Specifications” and “Process of Medical Personnel Piercing and Revisiting Protective Products”, and correctly implement hand hygiene and penetration and anti -protective supplies. b. The process chart of the production of medical personnel in various regions, equipped with dressing mirrors, equipped with the academic and part -time personnel to supervise the protection of the protective supplies of the medical staff to prevent pollution.

(3) Pay attention to the health of medical staff. Human resources and class arrangements should be rationally deployed to avoid excessive fatigue of medical staff. For job characteristics and risk assessment results, active health monitoring. Take a variety of measures to ensure health services to patients with health care.

(4) Monitor the body temperature and symptoms of the staff daily. If there is fever or respiratory symptoms, report immediately.

5. Unexpected precautionary measures

1. Patients refuse to leave the view: to report to the Director of Sciences, Medical Division, Group Leadership and Health Planning Commission step by step, and notify security to temporarily separate separation until the patient leaves the hospital.

2. Professional exposure of medical staff: Increased body fluid exposure is immediately rinsed up immediately when there is no protection; if you are exposed or inadequate when the protective supplies are damaged or the protective patient is exposed, the protective supplies should be removed in a timely manner. And prohibit contact with other people; both situations must be reported in time and the department of the department and the department of the hospital to do a good job of occupational exposure, and decide whether to observe isolation according to the situation. Passing injury will be reported after the corresponding emergency treatment.

Fourth, the plan is terminated

The termination of the plan shall be determined by the emergency leadership group according to the suspected patient. In principle, if the patient is suspected of excluding new crown pneumonia infection, the close contact can be dismissed. The closed isolation observation for 14 days. When the observation period expires, if all personnel have no abnormal situation, the emergency leadership group can be reported to the Municipal Health and Health Bureau and the Municipal Centers for Disease Control and Prevention. Receive patients normally after disinfection.

About the Author

You may also like these