Nursing service guide for nursing homes during epidemic prevention and control
1 scope
This document stipulates the terms and definitions, basic requirements, infection prevention and control, nursing services, epidemic handling, evaluation and improvement of nursing homes during epidemic prevention and control.
This file is applicable to nursing services during the epidemic prevention and control of nursing homes.
2 Normative reference file
This file has no normative reference file.
3 Terms and definitions
The following terms and definitions apply to this file.
3.1 Sudden infectious disease epidemic
outbreak of infected disease 3
A certain infectious disease occurs in a wide range of cases, with a large number of patients or deaths, and its incidence rate far exceeding the annual incidence rate level.
3.2 Epidemic Prevention and Control
epidemic prevention and control
According to the occurrence and development of the epidemic, detect cases early, effectively curb the spread and spread of the epidemic, control the spread of the disease, and reduce the harm caused by epidemic infection to the public health.
3.3 Isolation observation
isolation observation
During the epidemic of infectious disease or during the process of receiving and relocating newly admitted elderly people, elderly people suspected of pathogen carrier or at a potential risk of infectious disease are placed in designated locations for easy observation, treatment and care.
4 Basic requirements
4.1 Establish an epidemic prevention and control nursing service team to actively implement the epidemic prevention and control guidance requirements of superior leadership institutions.
4.2 Formulate and implement nursing service plans during the prevention and control period, emergency plan for epidemic prevention and control .
4.3 Establish a three-party contact network for service personnel, the elderly and the family to keep abreast of the situation of the elderly.
4.4 Ensure that daily necessities, food, basic medicines, protective supplies, disinfectants and other nursing materials are guaranteed in place.
4.5 Do a good job in environmental disinfection in nursing service areas in accordance with regulations.
5 infection prevention and control
5.1 Prevention and control training
5.1 Carry out publicity and education on epidemic and related prevention and control knowledge.
5.1.2 Organize service personnel to learn technical specifications for epidemic prevention and control and other training.
5.1.3 Strictly implement the epidemic prevention and isolation observation system for service personnel before taking up their posts to avoid external imported epidemics.
5.1.4 The following training contents are provided to service personnel: use of protective supplies, hospital infection knowledge, isolation technology, isolation types and measures, seven-step hand washing methods, wearing masks, gloves, wearing and taking off isolation clothes, etc.
5.2 Personnel protection
5.2.1 Service personnel
5.2.1.1 Strictly implement service personnel protection measures to avoid occupational exposure infection disease.
5.2.1.2 Strictly implement the epidemic prevention observation and isolation regulations for service personnel before taking office to avoid external input.
5.2.1.3 Standardize the process of putting on and taking off protective supplies. Before and after contacting each elderly person, protective work such as wearing masks and hand disinfection should be done to avoid cross-infection.
5.2.1.4 A dedicated person is responsible for monitoring and reporting of health data of the service personnel.
5.2.2 The elderly
5.2.2.1 Assist the elderly in wearing masks, hand disinfection and other personal protection work.
5.2.2.2 Assist the elderly in washing, bathing and other personal cleaning.
5.2.2.3 Newly occupants need to provide relevant certificates issued by the medical institution.
5.2.2.4 Living goods for the elderly are collected and delivered by a special person.
5.2.3 Related third-party
5.2.3.1 Inform the elderly’s families and other relevant third-party visits to the elderly to comply with epidemic prevention regulations.
5.2.3.2 Notify relevant third parties of epidemic prevention regulations and personal protection measures.
5.3 Isolation and observation
5.3.1 Isolation observation room (area) is set up in nursing homes, and corresponding protective supplies (protective clothing, medical masks, gloves, etc.) are equipped with necessary living and nursing service conditions.
5.3.2 relatively independent areas such as cleaning areas, semi-polluted areas and polluted areas should be set up, and buffer zones should be set up between the polluted areas, potentially polluted areas and cleaning areas.
5.3.3 isolation room (area) is set in a relatively independent, well-ventilated single room with independent toilets, and is in the downwind of nursing homes.
5.3.4 Use independent air conditioners. If you need to use a central air conditioner, prevention and control measures should be taken in accordance with regulations.
5.3.5 Domestic waste in isolation room (district) should be treated uniformly.
6 Nursing Service
6.1 Health Service
6.1.1 Monitor the health status of the elderly, measure the temperature once a day in the morning and evening, monitor the blood pressure, blood sugar and other indicators for the elderly, and ask for medical treatment in time when they are not in good condition.
Note: If the measuring device cannot be used exclusively for personal purposes, it needs to be thoroughly disinfected before use. The non-contact thermometer should be disinfected regularly in accordance with the use requirements.
6.1.2 Remind or assist the elderly with chronic diseases to take medicine regularly.
6.2 Medical Services
6.2.1 When the elderly experience non-successful major diseases such as chronic underlying diseases, they can take outpatient treatment and do not go out for medical treatment for the time being.
6.2.2 If the elderly are sick and need to be sent to the hospital, the elderly’s family members or nursing home staff will call 120 emergency number and accompany them to the hospital under effective protection.
6.2.3 When the elderly are cured and return to the nursing home, they shall be observed according to the epidemic isolation system and then transferred back to the living area after no abnormalities.
6.2.4 During the observation period, the epidemic-related indicators are monitored daily. When there are suspicious symptoms, they shall be reported to the epidemic prevention and control department for screening and processing according to the government's epidemic response requirements.
6.3 Basic care
6.3.1 Provide basic care services for the elderly, including but not limited to:
—— Oral cleaning: including brushing, mouthwashing, denture care, oral care, etc.;
—— Perineal care: Assist the elderly in keeping the perineal clean;
—— Perineal care: Assist the elderly in keeping the perineal clean;
—— Cleaning care: Keep the bed unit and quilt clean, clean the body and change clothes, and assist the elderly in personal hygiene;
—— Defecation care: Assist the disabled elderly in the toilet, assist them in using toilets, helping them defecate, clean and replace related supplies, etc.;
—— Change the lying position: Assist the elderly in the bed to change the lying position regularly, etc., to relieve skin pressure and prevent skin damage;
—— Pipe care: effectively fix, keep unobstructed, prevent infection, and clearly marked;
—— Cleaning and disinfection: Instruct the elderly to wash their hands before and after going out, and rinse and disinfect the toilet in time after going to the toilet.
—— Dietary care: Provide drinking water or feeding, tube feeding and other services to the elderly in need.
6.3.2 When providing services, personal protection should be done to prevent occupational exposure and cross-infection.
6.4 Catering Service
6.4.1 Avoid group dining, and it is advisable to use separate meal delivery and other methods to dine in the room.
6.4.2 When dining in a restaurant, you should pay attention to:
— Wear a mask when traveling to and from the room and the restaurant;
— Hand disinfection before meals;
— The dishes should be distributed by the service staff and do not pick up the dishes yourself;
— Implement staggered dining and maintain a 1.5 m dining distance;
— When coughing or sneezing, cover your mouth and nose with tissues or towels, and wash your hands immediately to avoid touching your eyes and nose with your hands;
——Short meal time, open the windows to ventilate, clean and disinfect, and keep the restaurant air fresh.
6.5 Room cleaning
6.5.1 Clean daily to keep it sanitary and tidy.
6.5.2 Open windows at least 3 times a day for 30 min each time. When the outdoor air quality is poor, the ventilation time can be appropriately reduced. If conditions permit, ultraviolet disinfection can be used for 30 min.
6.5.3 Wipe and disinfect the surface of objects that frequently touch (such as door handles, window handles, wardrobe handles, faucets, towel hangers, electric kettle handles, TV remote control , light switches, etc.), at least once a day.
6.5.4 The bathroom floor is disinfected at least once a day, and the cleaning tools used in each area are separated to avoid mixed use.
6.5.5 Close the toilet lid when rinsing the toilet to prevent aerosol splashing and contamination; place garbage in a classified manner, clean it up in time, and place the garbage bag in a designated location; disinfect the trash can twice a day.
6.6 Leisure and entertainment
6.6.1 Encourage the elderly to carry out appropriate outdoor activities, strengthen physical exercise, and enhance resistance.
6.6.2 provides chess and cards, puzzles, origami, graffiti, health exercises , reading and newspapers and other activities for the elderly.
6.6.3 Disinfection and personal protection should be done when carrying out activities.
6.7 Psychological comfort
6.7.1 Communication with the elderly and grasp the psychological and mental status of the elderly.
6.7.2 Explain epidemic prevention and control measures to the elderly and gain understanding and support from the elderly.
6.7.3 Do a good job in psychological adjustment for the elderly, promote positively and popularize mental health knowledge.
6.7.4 Use telephone, the Internet and other means to provide elderly people with affectionate communication services with their relatives, relieve anxiety and fear, and guide them to maintain a normal daily routine and a regular life.
7 Epidemic Disposal
7.1 Suspected Case Disposal
7.1.1 Suspected Case Disposal
7.1.1 Suspected Case Discovery, immediately place it in the isolation observation area and launch an emergency plan for epidemic prevention and control.
7.1.2 Cooperate with the local epidemic prevention and control command to screen all the elderly and staff, and all those who should be inspected and comprehensively investigated.
7.1.3 Do a good job of psychological counseling for the elderly, relieve fear and anxiety, and build confidence in overcoming diseases.
7.1.4 The isolation period ends, and the elderly are isolated and transferred back to the living area after they have no abnormalities.
7.2 Disposal of confirmed cases
7.2.1 If the elderly are diagnosed as infected cases, they should be sent to designated medical institution for medical treatment, and report to relevant departments according to the requirements of epidemic monitoring, and professional institutions will carry out comprehensive disinfection of nursing homes.
7.2.2 Under the guidance of the local epidemic prevention and control command, all the elderly and staff are tested, investigated, isolated and observed.
7.2.3 After the comprehensive investigation and isolation are completed, follow the unified arrangements of the epidemic prevention and control command center.
8 Evaluation and improvement
8.1 Evaluation
8.1 Establish a quality inspection and assessment system for nursing work during prevention and control.
8.1.2 Establish an information management system for nursing work during prevention and control periods, timely enter monitoring data of employees and the elderly, and conduct quality evaluation.
8.2 Improve
Analyze the causes of problems in nursing work during the prevention and control period, modify or re-formulate nursing service plans, and track and evaluate the implementation of rectification measures.
