Notice of Shangyu District of Shaoxing City on Strengthening Basic Medical Services during the COVID-19 Epidemic

District hospitals and township hospitals:

In order to further strengthen the management of basic medical services during the COVID-19 epidemic in our region, maintain a reasonable medical order, and further meet the basic medical needs of the masses on the basis of opening emergency and fever clinics in district-level hospitals in the early stage, the relevant requirements are hereby notified as follows:

0 1, strengthen medical management

The patient entered the medical institution to register his real name according to the ID card information, and was admitted to the hospital through temperature measurement, code scanning and negative proof of nucleic acid. According to the pre-inspection and triage process, go to the relevant consulting room through the designated route for orderly treatment. Patients and caregivers should consciously maintain the order of medical treatment, and implement one person, one consultation room and one room. Medical institutions shall arrange personnel to maintain the medical order on site. Among them, residents in the closed control area and the control area are treated by local township hospitals through online or on-site treatment according to the requirements of epidemic prevention and control and the principle of territorial responsibility. If only prescriptions are needed, the village will send volunteers, social workers and other forces to buy and distribute them for the masses without contact. If it is difficult for primary medical institutions to handle it, they should go to district-level medical institutions for diagnosis and treatment according to the Notice on Regulating the Management of Residents' Medical Travel during the COVID-19 Epidemic.

02. Improve the grading process.

In the medical field, it is necessary to further improve the grading diagnosis and treatment process and implement the requirements of first diagnosis at the grassroots level. According to the requirements of the Notice on Standardizing the Management of Residents' Medical Treatment during the COVID-19 Epidemic, the community prevention and control office will issue residents' medical treatment passes and refer them to district hospitals according to the standardized procedures. Patients with definite diagnosis, definite treatment plan and stable condition are referred to medical institutions near their places of residence to avoid cross-infection between people.

03, the use of remote diagnosis and treatment

Make full use of the telemedicine service system, carry out remote consultation and remote diagnosis in time, and actively play the leading role of "Internet+medical care".

04, to ensure the supply of drugs.

District-level hospitals and township health centers should strengthen the personnel strength of emergency, convenience clinic or general clinic, encourage the masses to make appointments at different times, and focus on ensuring special drugs for uremia, tumors, mental diseases and other major diseases and emergency drugs to meet the rational drug use needs of the masses. At the same time, it is necessary to strengthen cooperation with Shaoxing Ying Da Tong Pharmaceutical Co., Ltd., increase the procurement guarantee of commonly used drugs, drugs for chronic diseases, drugs for women and children, critical rescue, first-aid drugs and special drugs, strengthen the drug supply of social pharmacies, and purchase and distribute drugs for people who have no contact through "online appointment and offline service" and other modes with the help of volunteers and social workers. Psychotropic drugs needed by mentally ill patients under systematic management are uniformly distributed by township hospitals.

05, the implementation of classified treatment.

For patients with renal failure and tumors who need regular treatment, Shaoxing Shangyu People's Hospital will set up relevant specialized clinics to provide uninterrupted medical services, and dialysis patients can increase dialysis shifts at night. A health ledger should be established. In case of suspicious circumstances, nucleic acid detection and chest CT examination should be carried out in time, and the suspected patients should be treated in isolation.

For pregnant women and newborns, Shaoxing Shangyu Maternal and Child Health Hospital and grass-roots medical and health institutions will conduct full coverage telephone interviews or video interviews for pregnant women managed by this machine, and include pregnant women with high-risk pregnancy complications and other pregnant women and children who are gathered at home or isolated, and provide timely guidance for medical treatment. Establish a WeChat group for high-risk pregnant women above orange, and assign a special person to be responsible for education and guidance; All midwifery institutions should use "online consultation" and "health consultation" to carry out online consultation and guidance for pregnant women, and respond to the consultation of pregnant women and parents of children in time. For those approaching the expected date of delivery, it is necessary to coordinate the implementation of delivery inspection and delivery agencies, and promptly notify the masses to ensure convergence.

For patients undergoing elective surgery, it is necessary to strengthen the explanation and communication with patients, strive for patients' understanding, and scientifically determine the operation time in combination with epidemic prevention and control.

For patients with chronic diseases and the elderly. Township hospitals should carry out long-term prescription service for chronic diseases, and the prescription dose can be extended to 12 weeks according to the patient's condition. Provide services such as home visits, family members' taking medicine or community workers and volunteers' buying medicine for elderly people with real difficulties, disabled elderly people and patients with chronic diseases who cannot go out for some reason. Give full play to the role of family doctors, make full use of information technologies such as WeChat and mobile APP, establish effective interactive communication channels with the elderly, patients with chronic diseases or their families, carry out follow-up services, timely grasp the health status of the elderly and patients with chronic diseases, urge them to strengthen self-monitoring of blood pressure and blood sugar, and provide targeted guidance. The signing team will make full coverage telephone contact with key signing targets such as the elderly and chronic diseases, and inform them of the ways to obtain basic health needs and the emergency treatment methods when ten symptoms appear in COVID-19.

06. Strengthen training and publicity, and advocate the masses to seek medical treatment scientifically.

In order to further strengthen medical security and respond to social concerns in a timely manner, the District Prevention and Control Office has set up a 24-hour health service hotline "82212291"to receive public health consultation in a unified manner, timely announce relevant medical information of medical institutions to the public, and guide patients to seek medical treatment scientifically and reasonably. District-level hospitals and township health centers should intensify health promotion through official website and WeChat official accounts, guide residents to improve their self-prevention awareness and personal protection ability, and remind the general public that unless they are in critical condition, if they have to go to the hospital as much as possible, they should try to make an appointment or choose the Internet for medical treatment, and wear masks all the time to avoid the peak of medical treatment and reduce cross-infection. Township health centers should actively play the role of family doctors in keeping close contact with residents, combine contracted services and health management, publicize the knowledge of epidemic prevention and control for residents in their jurisdiction, strengthen drug protection and health management for key populations, facilitate patients' orderly diagnosis and treatment, facilitate medication, and reduce the risk of cross-infection during medical treatment.

Novel coronavirus epidemic in Shangyu District of Shaoxing City

Joint defense and joint control headquarters

202165438+February 20th.