Novel coronavirus pneumonia prevention and control plan (ninth edition)
Isolation medical observation of the new coronavirus pneumonia epidemic and
Home health monitoring guide
—Home isolation medical observation
Management objects
includes special groups of close contacts, close contacts, spillovers in medium-risk areas, and other people who cannot undergo centralized isolation medical observation after being evaluated by professionals.
Site requirements
1. Medical observers in home isolation should be better living alone; if conditions do not allow, choose a room with better ventilation in the house as the isolation room to maintain relatively independent.
2. Place tables and stools in relatively independent isolation rooms as the junction of contactless transfer items.
3. When using an air conditioner system for ventilation in the room, split air conditioners should be selected. If centralized air conditioners are used, ensure that the air conditioners are running normally, increase the amount of fresh air, and turn off the return air in the entire air system.
4. If conditions permit, try to use a separate bathroom to avoid sharing the bathroom with other family members.
5. The room should be equipped with thermometer , tissues, masks, disposable gloves, disinfectants and other personal protective equipment , disinfection products and trash cans with lids.
Management requirements
01
Community service requirements
1
Registration and registration
Street (town), community (village) staff should promptly contact the medical observation personnel in home isolation in a medical observation manner, grasp the information of medical observation personnel in home isolation, check whether the residence meets the medical observation conditions for medical observation, issue a medical observation notice for medical observation in home isolation (see Appendix 9-3), inform the relevant requirements of medical observation in home isolation, and register and register in accordance with the requirements of "one household, one file" or "one person, one file" and include it in the community grid management. Find out the situation of special people in home isolation medical observation such as pregnant women, dialysis patients, and widowed elderly people, establish a ledger, and provide necessary living security and caring services.
2
Monitoring information collection
Streets (towns), communities (villages) can regularly inquire and collect temperature, symptoms and other information of medical observation personnel in home isolation twice a day by establishing WeChat groups, mini programs, etc. By establishing WeChat groups, mini programs, etc., you can regularly ask and collect temperature, symptoms and other information of medical observation personnel in home isolation twice a day. If you find symptoms such as fever, dry cough, fatigue, sore throat, loss of smell (taste), diarrhea, etc., you will report immediately, and a special person will contact a 120 negative pressure ambulance and send it to a fever clinic or designated medical institution for medical treatment according to the principle of proximity.
3
Nucleic acid test
Nucleic acid test during home isolation medical observation is collected by community organization sampling personnel on the door-to-door collection and the nucleic acid test results are promptly pushed.
4
Environmental cleaning and garbage disposal
Disin the floor walkways, stairs and other places of medical observation personnel living in home isolation once a day, clean up the garbage at least once, and clean it up in time if necessary.
5
Psychological assistance and social work service requirements
Inform home isolation medical observers to the psychological assistance hotline number, provide psychological support, psychological counseling and other services, alleviate the negative emotions of isolated people, prevent and alleviate psychological difficulties caused by the epidemic, and prevent extreme events caused by psychological pressure. When a home-isolated medical observer has mental health problems, he/she will promptly refer him/her to the counterpart mental health medical institution.
6
Regular random inspections
Community should regularly conduct random inspections of people under home isolation medical observation in their jurisdiction to find out whether they are undergoing home isolation medical observation as required, whether they have left their place of residence, whether they have participated in gathering activities, and whether they have completed nucleic acid testing and other activities on time.
7
Staff protection
When the community medical observation manager comes into contact with a home-isolated medical observer, he should take self-protection when dealing with the surface of his pollutants and contaminants, and wear disposable work hats, medical surgical masks , work clothes, and disposable gloves, and keep a distance of more than 1 meter from him. If the patient is transported, the surface of his contaminants and contaminants is treated, or when he or she is in close contact with the isolated person due to other work needs, he or she should wear a N95/KN95 particulate protective mask.
02
Home Isolation Medical Observer Management Requirements
1
Health Monitoring
Home Isolation Medical Observer should perform temperature measurement and self-health monitoring every morning and evening, and actively report the monitoring results to community medical observation management personnel. During medical observation, if symptoms such as fever, dry cough, fatigue, sore throat, loss of smell (taste), diarrhea and other symptoms occur, community management personnel should promptly report to the local health administrative department and the disease control agency in the jurisdiction.
2
No going out
No going out during home isolation medical observation, and all visits are refused. For those who really need to go out due to medical treatment, they can only arrange special personnel and cars after approval by the medical observation management personnel of the community, and take personal protection throughout the process, and implement closed-loop management .
3
Personal protection
Personal occupants are not solitary, and their daily life and dining should be limited to the isolation room as much as possible, and other people should not enter the isolation room as much as possible. You do not wear a mask when moving in the isolation room, and you must wear a mask when leaving the isolation room. Try to minimize contact with other family members, keep a distance of more than 1 meter when contacting, and wear medical surgical masks in a standardized manner. If a medical observer in home isolation is a breastfeeding mother, he can continue to breastfeed the baby on the basis of taking personal protection.
4
nucleic acid testing and antigen self-test
Home isolation medical observation personnel must cooperate with staff to complete nucleic acid testing, antigen self-test and result reporting according to relevant prevention and control requirements.
5
Sanitation and epidemic prevention requirements
1) Keep the home ventilated, try to open doors and windows every day for ventilation, and use mechanical ventilation such as exhaust fans that cannot be ventilated naturally.
2) Do a good job of ventilation and disinfection of shared areas such as bathrooms and bathrooms.
3) You should wash your hands or disinfect your hands before and after meals, before and after wearing a mask. When wiping hands, it is best to use disposable to wipe the paper .
4) Pay attention to coughing etiquette. When coughing or sneezing, cover your mouth and nose with a tissue or cover your mouth and nose with the inner side of your elbow. Throw used tissue into the trash can, and wash your hands immediately or disinfect your hands if you come into contact with respiratory secretions.
5) Do not share daily necessities with other members of the family. Tableware should be cleaned and disinfected after use. The first choice is to boil and disinfect the tableware for 15 minutes. You can also soak the 250mg/L ~ 500mg/L chlorine-containing disinfectant solution for 15 minutes before washing with clean water.
6) The surface of items that may be used in daily contact, such as countertops, door handles, telephones, switches, kettles, wash basins, toilets, etc., should be wiped with chlorine-containing disinfectant containing 250mg/L to 500mg/L effective chlorine, and then wash with clean water, at least once a day. Wet mop the floor with 250mg/L ~ 500mg/L chlorine-containing disinfectant every day.
7) When towels, clothes, quilt covers, etc. of medical observers in home isolation need to be cleaned, they should be placed separately, soaked with 250mg/L to 500mg/L chlorine-containing disinfectant for 30 minutes, or boiled for 15 minutes and rinsed with clean water.
8) If the family shares a bathroom, the toilet should be disinfected once every time the home is isolated and medical observer should use up the toilet; if the home is isolated and medical observer uses a separate bathroom, the toilet can be disinfected once a day. The toilet and surrounding area can be wiped and disinfected with 2000mg/L chlorine-containing disinfectant for 30 minutes. For toilet door handles, faucets and other parts that often touch the hand, you can wipe and disinfect with chlorine-containing disinfectant with an effective chlorine of 500mg/L or other disinfectant that can be used for surface disinfection. Wipe clean with clean water after 30 minutes of action.
9) used tissues, masks, disposable gloves and other domestic waste are put into plastic bags and placed in a special trash can. Clean them every day. Before cleaning, spray and disinfect them with chlorine-containing disinfectant or 75% alcohol containing effective chlorine 500mg/L to 1000mg/L to disinfect until they are completely moist. Then tighten the plastic bag and discard it with other garbage at home.
10) Items contaminated by saliva, sputum, etc. are disinfected at any time. When disinfecting, wipe and disinfect with effective chlorine of 500mg/L ~ 1000mg/L chlorine-containing disinfectant, 75% alcohol or other disinfectant that can be used for surface disinfection. Wipe clean with clean water after 30 minutes of action. For large amounts of pollutants, you should use disposable water-absorbing material (dry towel) to completely cover it with a sufficient amount of 5000mg/L to 10000mg/L chlorine-containing disinfectant to disinfect it. It should be cleaned carefully for more than 30 minutes. Then wipe (mother) the contaminated surface and its surroundings with 500mg/L ~ 1000mg/L chlorine-containing disinfectant for 2 meters. Gloves and masks should be worn when dealing with pollutants, and bathe and change clothes after treatment.
6
Home Isolation Medical Observation Release
Home Isolation Medical Observation Expiration Expiration Period, the nucleic acid test result is negative, and there are no abnormal symptoms, after the community verification and a notice of the lifting of the home isolation medical observation can be lifted from the home isolation medical observation.
03
Co-residents or accompanying personnel require
(1) When the accompanying personnel contacts medical observers at home, they should take self-protection when dealing with their pollutants and the surface of the contaminants, and wear disposable work hats, medical surgical masks, work clothes, and disposable gloves, and keep a distance of more than 1 meter from them.
(2) After any direct contact with a medical observer in home isolation or leaving his living space, his hands must be cleaned and disinfected before and after meals, before wearing gloves, and after taking off gloves.
(3) Personnel with underlying diseases and the elderly cannot be accompanied by children, pregnant women, semi-self-care and incapable of taking care of themselves.
(4) Co-residents or accompanying personnel shall comply with the management requirements for medical observation of home isolation.
guarantee requirements
1, organizational guarantee. The community where the home-isolated medical observer is located is designated to undertake community medical observation management and services, clarify responsibilities, implement the 24-hour duty system, promptly discover problems, and solve problems in a timely manner.
2. Material reserves. The community should reserve sufficient protective materials (including masks, medical gloves, medical protective clothing, medical eye masks, etc. at all levels), disinfection facilities and medicines.
—Attachment—
Source Healthy Beijing
Edit Zeng Jiajia
Process editing Ma Xiaoshuang
5Process editing Ma Xiaoshuang 5-
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