Introduction Read
November 29, at the 428th press conference on the prevention and control of the new coronavirus pneumonia in Beijing, the head of the medical treatment and hospital infection prevention group of the leading group of the Beijing COVID-19 epidemic prevention and control work, Wang Xiaoe, member of the Party Committee and spokesperson of the Beijing Municipal Health Commission, said that medical institutions did not have nucleic acid results, refused to diagnose or delayed because of the lack of nucleic acid results, and answered reporters' questions. At the press conference of
, Wang Xiaoe introduced that in the face of the severe and complex epidemic prevention and control situation, the medical treatment and hospital infection prevention team has always adhered to the principle of "people first, life first", based on the needs of patients, accurately analyze risks, scientifically coordinate resources, and follow the ideas of "classified disposal, priority for severe cases", "green channels, personalized arrangements", "buffer isolation, strengthen protection", and with stricter standards and more optimized measures, we will make every effort to reduce the impact of epidemic prevention and control on normal diagnosis and treatment order, and meet the basic medical service needs of the people.
First, strengthen the treatment of key groups.
strictly implements the first-diagnosis responsibility system and the emergency and critically ill patients rescue system, focusing on providing medical treatment services for special groups such as hemodialysis patients, pregnant women, children, tumor radiotherapy and chemotherapy, and emergency patients. It is not allowed to shirk responsibility, refuse to diagnose or delay due to reasons such as nucleic acid test results; the emergency rescue rooms, operating rooms, and wards reasonably set up buffer zones to provide treatment services for urgent and critically ill patients who cannot rule out the infection of the new coronavirus but need emergency treatment or hospitalization.
The second is to maintain continuity of medical services.
The city coordinates the suspension of follow-up visits of key departments such as medical institutions, fever clinics, , obstetrics and gynecology, dialysis rooms, pediatrics, oncology, psychiatry, critical care medicine, intensive care medicine, , etc., and the diagnosis shall not be suspended without permission without consent. The department staff shall not be transferred or continuously diagnosed without special circumstances; establish an emergency mechanism, if key departments are blocked and controlled, use the backup diagnosis and treatment area to carry out corresponding medical services to ensure that the capabilities are not reduced and the services are continuously.
The third is to strengthen the reserve of professional strength.
coordinates medical resources, expands the space of fever clinics and emergency clinics, strengthens personnel and equipment, strengthens the support of professional forces such as pediatrics and obstetrics and gynecology, and establishes a smooth transfer consultation mechanism. For possible outpatient reduction or closure of services, a work plan will be formulated, strengthen in-hospital coordination, make good personnel reserves, improve the carrying capacity of fever clinics and emergency clinics, and make every effort to ensure the medical needs of emergency patients and patients who need continuous medical services.
Fourth, insist on not blocking and controlling unless necessary.
For epidemics involving medical institutions, comprehensively analyze risks and take scientific and precise prevention and control measures. Emergency, dialysis room, operating room, intensive care unit , delivery room , obstetrics and neonatal wards will not be closed and controlled unless necessary. While ensuring that risks are controllable, shorten the hospital lockdown control time limit as much as possible, strive to achieve "quick sealing, fast screening, fast consumer goods, and quick relief" and restore normal medical order as soon as possible. For medical staff who are quarantined for centralized isolation and home quarantine due to epidemic-related epidemics, priority will be given to the Internet + medical work, and the service capabilities of medical staff should be leveraged as much as possible.
Fifth, guide patients to seek medical treatment.
For patients with follow-up visits to common and chronic diseases, Internet + medical services are adopted to conduct online prescription, online settlement, and drug delivery. For patients with elective surgery, explain and communicate with patients, and reasonably determine the operation time based on the epidemic situation and the patient's condition; for key personnel who need regular medical treatment such as hemodialysis, pregnant women, tumor radiotherapy and chemotherapy, etc., register and establish accounts, and ensure that medical services are not interrupted under special circumstances. If a medical institution or department stops the diagnosis, it will actively inform the registered or scheduled examination and hospitalized patients through telephone, text messages, , WeChat, , etc. to inform the patients of the suspension of the diagnosis and change of appointments and refund methods, and make explanations and communication, and strive for the patient's understanding.
Wang Xiaoe said that in the next step, the medical treatment and hospital infection prevention team will increase resource reserves, strengthen personnel coordination, optimize service measures, coordinate epidemic prevention and control with basic medical services to the greatest extent, and ensure the safety of people's lives and health to the greatest extent.
Beijing has enabled html hospitals, and the usage rate of beds is 79.7%
At the press conference, a reporter asked that the number of positive infections in the new crown has continued to increase recently, and Beijing has also launched several html hospitals, and their construction and use have attracted much attention. What is the construction of Beijing Fangcai Hospital?
Wang Xiaoe said that the main strain of this round of epidemic in this city is Omickron BF.7 mutant strain . has stronger infectiousness, shorter incubation period, and faster transmission speed. It is very prone to clustered epidemics, causing a surge in the number of infected people in a short period of time. In order to do our best to ensure that all patients with new crown infection should be admitted and treated, and to reduce the risk of social transmission, in accordance with the requirements of the ninth edition of the diagnosis and treatment plan, most of the mild and asymptomatic infected people with are admitted to the temporary hospital for treatment. The purpose is to avoid the risk of transmission and ensure the safety of citizens. While ensuring that the infected people are treated in a timely manner, they can protect the safety of the infected people's families and neighbors to the greatest extent, especially those with elderly people, children, pregnant women and other groups at home to minimize the risk of infection.
As of 6:00 on November 29, a total of 23 temporary hospitals have been opened in the city, with a total of 23,892 beds admitted, 19,032 people in the hospital, and the bed usage rate is 79.7%.
Yanqing District Square Cabin Hospital | Photo from Beijing Daily
Beijing Square Cabin Hospital construction, strictly in accordance with the national square hospital management standards.
First, adhere to the principle of "combining peace and emergency", relying on the existing large venues such as exhibition center , sports venues, etc., to make renovation and preparations for the temporary hospital in advance, and convert them into temporary hospitals in a timely manner in accordance with the epidemic situation.
The second is to make good storage of hardware, materials and personnel in the temporary hospital, ensure basic hardware conditions such as water, electricity, toilets, showers, and ventilation, configure bed units, medical supplies and necessary medical equipment, and connect to the medical information system. At the same time, the training and reserve of medical staff have been strengthened, and all temporary hospitals that have been opened strictly equipped with medical staff according to the bed care ratio and medical care ratio to carry out treatment work.
Yanqing District Fangcai Hospital | Photo from Beijing Daily
The third is to strengthen government leadership and establish a management model for designated hospitals to host Fangcai Hospital. The director of each Fangcai hospital is the director of the custodial hospital. A comprehensive coordination, medical care , information liaison, infection control, medical team, medical experts and infection prevention and control experts have been established, covering professionals such as respiratory, infection, severe illness, emergency, traditional Chinese medicine, inspection, radiation, and pharmacy to ensure the medical treatment needs of infected people.
In the next step, Beijing will further optimize the process, improve services, improve efficiency, continue to do a good job in standardized management of temporary hospitals, continuously improve the medical service level of temporary hospitals, and make every effort to ensure the medical services and health and safety of infected people.
Content source: Beijing Epidemic Prevention and Control 428th Regular Press Conference
Editor: Beicheng
Duty Editor: Peng Fei
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