Summary of common problems in the management of centralized isolation medical observation places in Chengde City

1. Management object of quarantined personnel?

Close contacts of confirmed cases, suspected cases and asymptomatic infected persons and their close contacts.

Immigrants.

Other personnel should be separated according to the needs of prevention and control work.

2. What are the requirements for isolated personnel and staff to stay on the floor?

In principle, the staff should live in the lower floor of the isolation hotel, and the isolated personnel should live in the upper floor. The staff entering the isolation area and the field staff live in different areas as far as possible.

3. Can isolated people live in the same room?

Except for the elderly over 70 years old,/kloc-children under 0/4 years old and seriously ill children who need care, it is strictly forbidden for all kinds of people to share the same room.

Second, the site requirements

4. What are the requirements for isolating the location of the hotel? What are the acceptance tests before opening?

It is best to set up the venue independently, away from residential areas and schools. The isolation hotel should have warning isolation guardrail, and irrelevant personnel are forbidden to enter and walk through. Before the isolated hotel is put into use, it must pass the joint acceptance of district-level fire control, safety supervision, disease control or health supervision.

5. Basic configuration and requirements of isolation rooms and walkways?

The windows of the isolated hotel must be limited, and the rooms have independent bathrooms and bathing facilities, wireless networks, televisions, etc.

The walkways on isolated floors should avoid covering carpets as much as possible, or plastic films can be covered on the original carpets.

Shelves and garbage bags trays or trash cans should be opened separately at the door of the room.

6. What is "three zones and two channels"? What is the basic principle?

"Three areas" refer to living areas, medical observation areas and semi-polluted areas. Different areas need to be physically isolated and hard isolated, and clearly marked. "Two channels" refers to the personnel channel and the isolated personnel channel. The two passages should not cross, and should be distributed at both ends of the site as far as possible, with obvious signs.

7. What are the basic requirements of physical partition?

Physical partition refers to the partition with a certain hard plate or wall, and pay attention to the good air tightness of the partition to prevent air convection, and seal it with silica gel and foam when necessary. It is forbidden to use curtains and screens as partitions.

8. What are the setting requirements and equipment of protective equipment unloading room?

Cosmetic mirror, protective schematic diagram, pedal medical waste dustbin, medical waste garbage bag, quick-drying hand disinfectant, conditional installation of monitoring equipment and networking to the monitoring room.

9. Isolate the risk points of hotel elevator management?

Separate people from employees' living elevators. It is suggested to close the vent of the elevator car used by the isolated personnel, and it is forbidden to stop when passing the floor where the staff is located.

10. What are the requirements for setting temporary storage points for medical wastes?

The temporary storage point of medical waste in the isolated hotel should be close to the isolated personnel passage or pollution passage, physically isolated from the main road, and set up obvious warning signs or isolation zones. Temporary storage points should be covered, locked, rain-proof, managed by special personnel, and removed daily.

Third, management norms.

1 1. What are the staffing requirements of the isolation point?

Person in charge of the isolation point 1 person, 2 medical personnel, nurses 1 person, information contact 1 person, cleaning and disinfection 1 person, safety guarantee 1 person, logistics support 1 person, psychological counseling/kloc-

12. Closed-loop management of isolation point staff?

The staff at the isolation point are not allowed to go out after work without permission. You can live and rest in the clean area of the isolated hotel, and there is no need for contact between the staff. All staff should do a good job in daily health monitoring and regular nucleic acid detection, and must complete the whole vaccination, otherwise they will be replaced. Personnel who have completed the work at the isolation point should carry out home health management as required.

13. What are the protection requirements of the staff in the isolation area?

Staff should do personal protection at work,

Clean area: Wear medical surgical masks, work clothes/isolation gown and disposable gloves.

Contaminated area: medical protective masks, disposable hats, medical protective clothing, medical gloves, goggles or protective screens and disposable shoe covers should be worn according to the requirements of secondary protection.

Hand hygiene should be strictly implemented for each contact with different isolated personnel, and the principle of destroying one hand after contact should be followed, and the six-step/seven-step washing method should be strictly followed.

14. How to divide the responsibilities of the isolation point staff?

Person in charge of the isolation point: fully responsible for the work of this isolation point, including personnel arrangement and external liaison.

Medical staff: responsible for the medical work at the isolation point, including supervising the staff in the isolation area to wear and take off protective clothing correctly, checking the background information, symptoms, body temperature monitoring, psychological monitoring, routine medical services, personnel transfer, health education and guiding the staff's personal protective training every day.

Information contact: responsible for collecting, filling in forms, recording accounts and submitting all kinds of information at isolation points.

Cleaning and disinfection personnel: responsible for the daily disinfection during the use of the isolation point and the cleaning and disinfection of the internal and external environment after the isolation, and make records.

Security personnel: responsible for the closed management of isolation points and the safety of isolation personnel and staff.

Logistics support personnel: responsible for the life support of isolated personnel and staff, as well as the support of various materials.

Psychological counselor: responsible for the humanistic care and psychological counseling of isolated personnel and staff.

15. What are the daily observation points of medical observation management of isolated personnel?

Focus on the daily temperature monitoring and symptom monitoring of isolated personnel; Nucleic acid detection and result feedback; Daily distribution and taking of traditional Chinese medicine. Special attention should be paid to special groups such as serious basic diseases, mental illness, disabled elderly, pregnant women and children. Fill in the relevant forms and make records.

16. What are the common problems and key points of daily disinfection and environmental sanitation in isolated hotels?

Kill the ground and contact surface in the isolation area at least once a day 1 time; Put chlorine-containing disinfection tablets into the isolation room bathroom immediately after each flush; Finally, disinfect the rooms, facilities and articles with cases.

Isolation personnel regularly put garbage on the tray in the corridor outside the door. Staff should use chlorine-containing disinfectant 1000mg/L to disinfect the temporary storage site of medical waste at least twice a day.

17. What are the time and requirements for nucleic acid sampling of isolated personnel?

The nucleic acid sampling of isolated personnel should be carried out in different time periods at a time, such as morning, afternoon and evening alternately.

18. How often do you conduct nucleic acid testing in an isolated hotel environment?

Environmental sampling and nucleic acid detection should be carried out regularly at isolation points, and once a week is recommended. Sampling locations include elevator buttons, access door handles, countertops, etc. Send it for inspection in time on the same day and save the test results.

19. What are the main points of treatment after positive cases are found?

After the positive cases are transported, professional institutions and personnel who meet the requirements will carry out terminal disinfection and do a good job in environmental testing and evaluation. Supervise the isolation point to complete and save relevant information in time.

20. What fire safety points should the staff know?

All staff should be familiar with the personnel distribution and escape route of the isolation hotel, and skillfully use gas masks, fire extinguishing appliances, etc. , and master the norms of emergency evacuation of fire accidents.

2 1. How to monitor and manage septic tanks in isolated hotels?

Chlorine-containing disinfectants should be added to the septic tanks of isolated hotels every day, and the total residual chlorine should reach 6.5mg/L- 10mg/L after disinfection/0.5 hours. A special person shall be responsible for and record the dosing time, residual chlorine monitoring and dosing personnel.

22. What are the high-risk actions of common infection risks at work?

Non-standard implementation of secondary protection into polluted areas;

The staff members directly contact the quarantined persons and touch the articles and facilities directly contacted by the quarantined persons;

Loose masks in polluted areas lead to insufficient air tightness or direct contact with the external surface of masks;

Touch the outer surface of protective clothing with your hands when you come out of the polluted area and take off your protective clothing;

Touching medical wastes or articles in contaminated areas without gloves or damaged gloves;

Make unnecessary stops in polluted areas.

23. What are the daily security priorities of isolated hotels?

Security personnel are responsible for monitoring and using the door magnetic system 24 hours a day to maintain normal order;

Stop leaving the isolation room without authorization in time;

Windows in isolated rooms can prevent accidents under the condition of ensuring ventilation;

Post obvious safety passage indication signs on the isolated floor passages;

Ensure that emergency exits are unblocked;

It is forbidden for couriers and other irrelevant personnel to approach the isolation hotel.

24. What matters should be paid attention to in humanistic care for isolated personnel?

Medical staff should pay close attention to and relieve the emotional and psychological conditions of the isolated person, and check the hot water supply, heating, internet, TV and bathing in the isolation room to ensure that the living environment of the isolated person is not depressed. At the same time, we also pay attention to providing psychological counseling and emotional care for employees. It is suggested to use psychological scale to evaluate the quarantined people when they check in.

25. What are the main points of installation and use of electronic door magnet and intelligent body temperature sticker?

Isolation hotels should promptly promote the installation of electronic door magnets and smart body temperature stickers used by isolation personnel. The monitoring information is networked to the staff's mobile phone, which is convenient for early warning and viewing at any time.

26. Precautions for ventilation and air conditioning in isolated hotels?

Hotel rooms and corridors should be opened regularly to enhance natural ventilation.

The room can adopt split air conditioning, central air conditioning with fan coil and fresh air, and the return air is closed by all-air system. It is forbidden to isolate the airflow crossing between rooms.