新型冠状病毒Norms for Prevention and Control Practice in Grass-roots Medical and Health Institutions

NormsforPreventionandControlPracticeinGrass-rootsMedicalandHealthInstitutions,ChineseCenterforDiseaseControlandPrevention,01,02,03,04,05,Content,06,07,Basicstandardsforthemanagementofdomesticwaste,Transferprocessofsuspectedcases,Keypointsofprotectionstandardsformedicalpersonnel,Keypointsofprotectionstandardsformedicalpersonnel,01,04,02,05,03,06,Trainingofprotectionknowledgeformedicalstaff,Protectionprinciplesformedicalpersonnel,AssessmentofriskclassificationCorrectselectionofprotectiveequipment,Suggestionsonprotectiveequipmentforgrass-rootsmedicalstaff,Handhygiene,Consultationareamanagement,OPTION,OPTION,OPTION,OPTION,Trainingofprotectionknowledgeformedicalstaff,01,Whatisstandardprevention?,Howtoevaluatetheriskofinfectionexposureaccordingtothediagnosisandtreatmentpracticeofthisposition?,Howtochooseprotectiveequipmentfordifferentrisks?,Howtowearandtakeoffprotectiveequipmentinthecorrectorderandmethod?,Protectionprinciplesformedicalpersonnel,02,Medicalpersonnel:Taketheprotectivemeasuresofdropletisolation,contactisolationandairisolation,makedifferentprotectionmethodsaccordingtodifferentsituations,correctlyandstandardlyuseprotectiveequipment,andstrictlyimplementthepreventivemeasuresagainstsharpinjuries.Diagnosisandtreatmentenvironment:Thediagnosisandtreatmentenvironmentofmedicalstaffsshouldbewellventilatedandsterilized.Medicalequipments:Theprotectiveequipmentsusedbymedicalpersonnelshouldmeettherelevantnationalstandards.,Evaluationofriskclassificationandcorrectselectionofprotectiveequipment,03,Suggestionsonprotectiveequipmentsforgrass-rootsmedicalpersonnel,04,Pre-examinationtriagepersonnel,Clinicalfirst-linemedicalstaff,Familyisolationdoor-to-doorservice,Handhygiene,05,scientifichandhygiene,onlyusequick-dryinghanddisinfectant,Washhandsfirst,thencleanhandsanddisinfectthem.,onlywashhands,Visiblecontaminationofthehands,suchasbloodorotherbodyfluids,novisiblecontaminationonthehands.,Aftercontactwiththeblood,bodyfluidsandsecretionsofpatientswithinfectiousdiseasesandarticlescontaminatedbyinfectiousdisease-causingmicroorganisms;Afterdirectexamination,treatment,careortreatmentofpatientswithinfectiousdiseases.,06,Consultationareamanagement,YOURTITLEHERE,Ventilationmanagement,Managementofcleaninganddisinfectionofdiagnosisandtreatmentenvironment,Disinfectionmanagementofofficearticles,Disinfectionmanagementofmedicalequipments,Personnelmanagement,01,02,03,04,05,Content,06,07,Basicstandardsforthemanagementofdomesticwaste,Transferprocessofsuspectedcases,Keypointsofprotectionstandardsformedicalpersonnel,Keypointsofdisinfectionpreventionandcontrolofinfectioninhospitals,01,02,disinfection,keypointsofpreventionandcontrolofinfectioninhospitals,Disinfection,01,disinfectscientifically,Definethescopeofdisinfection,Definethetargetofdisinfection,Choosecorrectdisinfectionmethods,Preventivedisinfection,Cleaningdisinfection,Terminaldisinfection,High-riskarea,Middle-riskarea,Low-riskare,In-doorairdisinfection,Disinfectionofmedicalenvironmentandarticles,Disinfectionofskinandmucosaofmedicalstaff,02,Keypointsofpreventionandcontrolofinfectioninhospitals,SuffecientProtection,SufficientManagement,SufficientSupervision,01,02,03,04,05,Content,06,07,Basicstandardsforthemanagementofdomesticwaste,Transferprocessofsuspectedcases,Keypointsofprotectionstandardsformedicalpersonnel,Isolationandmanagementprocessofsuspectedcases,01,02,Managementprocess,Keypointsofcentralizedisolationmanagement,01,Keypointsofcentralizedisolationmanagement,Settingupisolationpoints,Staffingandmaterialsupportforisolationpoints,Standardizedmanagementduringisolation,Managementprocedure,02,Stayathomeandobservefor14days,Centralizedisolationatisolationtreatmentpointsdesignatedbygovernmentdepartments,diseaseaggravateordiagnosed,Twoconsecutivenucleicacidtestswerenegative,Isolationtreatmentindesignatedhospitals,Suspectedcasesofnovelcoronavirus,Developfever,respiratorysymptoms,etc.,Nofever,respiratorysymptoms,etc.,releasedfromisolation,01,02,03,04,05,Content,06,07,Basicstandardsforthemanagementofdomesticwaste,Transferprocessofsuspectedcases,Keypointsofprotectionstandardsformedicalpersonnel,Homeisolationenvironmentrequirements,Homeisolationpersonnelrequirements,Observationcontentsduringisolation,Seedoctorintimeifthereisanabnormalsituation.,Ifmeetthestandard，releasemedicalobservation,Visitsbygrass-rootsdoctors,Homeisolationcaregiversrequirements,closecontactsofpatientsinfectedbynovelcoronavirus,Centralizedisolationmedicalobservationfor14days,Eachpersonisisolatedinaseparateroomtoavoidcontact.,Disinfectionofdailynecessitiesanddisposalofcontaminatedpapertowelsandmasks,Ventilationanddisinfectionofroomsandpublicareas,Personalprotectionofstaffandfamilymembers,Recordthebodytemperatureandhealthstatusinthemorningandeveningeveryday.,Developmentofsymptomssuchasfever,cough,chesttightness,fatigue,anorexia,oraggravationoftheoriginalrespiratorysymptoms,Nodiscomfortduringmedicalobservation,Releasemedicalobservation,Reporttothepersonincharge,Diagnosisandtreatmentindesignatedmedicalinstitutions,01,02,03,04,05,Content,06,07,Basicstandardsforthemanagementofdomesticwaste,Transferprocessofsuspectedcases,Keypointsofprotectionstandardsformedicalpersonnel,Activediscovery:communitydoctorsvisitthefamilieswithpersonswhohavereturnedtotheirhometownfromtheepidemicareaeveryday.,Diagnosedasonsetoffamilyclustercase,Passivediscovery:grass-rootsmedicalinstitutionsreceivecaseswithfever,drycough,diarrheaandothersymptoms,Twoandmorefamilymembershavedevelopedfever,respiratorysymptoms,diarrheaandothersymptomswithin14days.,Activediscovery:communitydoctorsvisitfamilyintimatecontactswithconfirmedorsuspectedcaseseveryday.,Inquireaboutthecontacthistoryofpeopleinepidemicareas,epidemicareasandconfirmedcases.,Itisnecessarytoconsiderthepossibilityofinfectionofnovelcoronavirus,anditisrecommendedtoseekmedicalattentionatafeverclinic.,1.Theresultsofbloodroutineexaminationshowsthatthewhitebloodcellcountisnormalordecreased,orthelymphocytedecreases.2.ThechestCTshowsthemanifestationofCOVID-19.,Atleastoneofthetwoconditionsismet.,Disconsidersuspectedcases,otherdiagnoses,Hometreatment,Hospitalizationtreatment,Thesymptomsimprovedafterhometreatment,andreleaseobservationafter14days.,Thecommunitydoctorvisitseverydaytoobservethechangesofbodytemperatureandsymptoms.,COVID-19cannotberuledoutifthesymptomsarenotrelievedorworsened.,COVID-19suspectedcase,reportthroughtheinfectiousdiseasecardwithin2hours,Iftheresultsof2nucleicacidtestswerenegative,relievethesuspectedcases,andthepatientsshouldbetreatedathome.,Confirmedcasesshouldbetransferredtodesignatedhospitals,Whatelsedograss-rootsmedicalandhealthinstitutionsneedtodowhenonsetoffamilyclustercasehappens?,Assistthedepartmentofdiseasecontrolandpreventioninepidemiologicalinvestigation,Isolateclosecontactsofthefamily,Relievementalpressureandburden,01,02,03,04,05,Content,06,07,Basicstandardsforthemanagementofdomesticwaste,Transferprocessofsuspectedcases,Keypointsofprotectionstandardsformedicalpersonnel,Transferprocessofsuspectedcases,Pre-examinationandtriageinmedicalinstitutionswithoutfeverclinic,Stay-at-homeandcentralizedmedicalobservationpoints,Stations,docks,airports,roadbayonets,Medicalinstitutionswithfeverclinicsfindsuspectedpatients,Ifdiscoverfeverorepidemichistory,doon-siteisolation,andassessmentbygrass-rootsdoctors,Remoteguidanceandconfirmationbydistrictdiseasepreventionandcontrolexperts,Reporttothedesignatedcontactdepartmentofthehealthcaresysteminthejurisdiction(specialtelephonenumber),Contactdesignatedhospitalbedcoordinationcenterandemergencycenter(120)fortransfer,Isolationinisolationroomsandconsultationinhospitals,Discoveryandreportprocess,Transportprocessafternucleicacidtestisnegative,ThemunicipalCDCobtainsthenegativecasedischargelistofdesignatedhospitals.,DistrictHealthBureaucheckandsortoutthelist,anddispatchspecialvehicletotransfer(dispatchingcenter),Iftheunderlyingdiseasehasnotbeencured,thepatientsneedtobecontinuallytreatedinaspecialisthospital.,Contactthespecializedhospitalforisolationandtransferbychauffeuredcars,Beforetheendoftheisolationperiod,continuetobeisolateduntiltheexpirationoftheperiod,Deliveredtheisolatedpersonneltotheirhomeorthecentralizedisolationpointbychauffeuredcars,contactthestaffandmakethehandover,Whentheisolationperiodends,thereisnoneedtocontinuetheisolation.,Follow-upofcommunityhealthservicecenter,Gohomebythemselves,Communitydoctorsfollow-up,Issuethenoticeofreleaseofisolatedobservationandinformthecommunity,Providethetelephonenumberofthestaffinthereceivingcommunityorcentralizedisolationpoint,andcontinuethemedicalobservationuntiltheexpirationoftheperiod.,Mattersneedingattentionduringtransfer?,Safetyprotectionofdriversandmedicalpersonnel,Safetransferenvironment,Thoroughdisinfectionafterthecompletionofthetransfer,01,02,