Medical staff have been fighting in the front line of the epidemic. How do they disinfect after work?

There are a lot of procedures, such as dressing, undressing, washing hands, wearing masks, and teaching medical staff how to take a bath.

This is the protective experience shared by Ding Liping, the head nurse of the emergency department of anzhen hospital, Beijing! In 23, Head Nurse Ding led 8 doctors and 22 nurses to ditan hospital to fight against SARS. Under the severe situation at that time, she created medical staff? Zero? The miracle of infection! Specifically, it includes the following measures:

1. Bathing after work must be >; For 3 minutes, wash your nostrils [fists] carefully because of the amount of virus and bacteria left in your nostrils? After 1 stools!

2. You must have both ears after bathing? Sterilize [fist] with 75% alcohol cotton swab because viruses like wet environment!

3. Dropping eyes [fists] with normal saline is a must, and many people are infected with conjunctiva

4. Rinse your mouth with normal saline or mouthwash (the virus likes to stay in the throat)

5. It is forbidden to wear any jewelry, and the virus can survive on jewelry > 24 hours! 6. Because no shampoo is effective for viruses, viruses like humid environment, and it is easy to sweat when wearing hats and protective clothing? So cut your hair short

She also emphasized that in the current situation, protection is of course important, and personal cleanliness is more important when you leave the infected area! Each of us should be a blocker of the source of infection!

The most practical one is "Personal Experience Summary of Front-line Medical Staff Protection" summarized by Zhang Fan, a teacher from the Department of Cardiology, Wuhan First People's Hospital?

First, preparation before going to work:

1. We implement shift duty, and we should eat and drink enough before going to work, have a good rest, and come to work in a good physical and mental state, which is an important prerequisite for coping with long-term high-intensity work.

At present, the city of Wuhan is closed, and the diet is not as convenient as usual. I suggest to prepare more dry food and milk at home. The dry food I prepared is compressed biscuits. Before I go to work every morning, I drink milk and eat a compressed biscuit. Under high-intensity work, compressed biscuits can be filled for several hours, and the nutrition is guaranteed. Personally, I feel that the taste is not bad, not as bad as I thought.

2. Both boys and girls had better cut their hair short, the shorter the better, so that wearing hats can play a protective role. If girls can't cut their hair short, it is suggested that they tie their hair tightly before going to work, tie up their bangs, or spray some styling spray, otherwise they will easily fall out and prick their eyes and pollute. Pay attention to cutting nails frequently and avoid puncturing gloves, which medical staff should be able to do.

3. Medical staff who drive to work should pay attention to the cleanliness of the car. Please help the driver to do a good job in the car when taking a taxi or taking a volunteer car to work. Protecting others is also protecting themselves.

4. After arriving at the hospital, put on special work clothes and work shoes. Put your clothes in special bags and put them in designated areas to avoid pollution. Later, the medical staff who joined the front line, in a few cases, if the emergency department did not prepare work clothes and work shoes, suggested that they prepare a set of home clothes instead, which was only used in hospitals to avoid bringing contaminated clothes and shoes home.

5. it is not recommended to use mobile phones at work, which will increase the chance of pollution, and it is not convenient to use mobile phones when wearing protective clothing. Therefore, it is suggested that the department should prepare a fixed telephone that can pick up the internal and external lines, and the telephones of all working medical staff and important functional departments should be put together and put in a place where everyone can easily see them, and the fixed telephone should be used for contact at work. At the same time, arrange a bulletin board in the department, and write down any matters needing attention or the whereabouts of the medical staff on the bulletin board so that everyone can know quickly. Second,? Take precautions:

1. Be sure to take precautions before going to work. Wear protective clothing one by one before working. Don't worry. ? 2. Protective clothing is airtight and can be worn for several hours at a time, so don't wear too many clothes inside. I personally wear a set of autumn clothes and trousers, and there is no need to keep warm and thick. Outside is a set of operating room overalls and shoes, which makes me feel more comfortable.

3. After wearing protective clothing, it is not convenient to eat and drink Lazar. Pay attention to the reasonable planning of the time for eating food and drinking water at work. As mentioned earlier, I eat compressed biscuits, so I can basically stay hungry for a few hours, and I can drink water for more than three hours half an hour before work (personal experience). It is more troublesome to change protective clothing. Changing protective clothing several times will increase the chance of pollution and waste material resources.

4. it is the best time to replenish energy and water when changing shifts in the middle. Therefore, it is suggested that all medical staff should change their shifts on time and not delay their shifts, because we are a whole and cooperate well with each other, and we should give our comrades a chance to rest and adjust.

5. I suggest wearing a hat first, and then? N95 and N95 need to be worn according to each person's head shape, but overall? N95 had better not use the force of the ear, but need the binding force, otherwise the ear can't stand it after a long time.

6. Then put on the first layer of gloves, which should cover the long-sleeved work clothes. Then wear isolation suits, and wear protective suits after wearing isolation suits. Wear protective clothing, pay attention to tear off the seal next to the zipper and stick the protective clothing firmly. Some hats of protective clothing may be covered with eyes, so you can choose medical tape to fix them according to your own situation.

7. Keep on wearing goggles, some goggles will fog up quickly, so it is recommended to do anti-fog treatment first. I use anti-fog spray. Colleagues have a little experience that hand sanitizer is put on the lens, then washed off with water in the pool and dried, so it has anti-fog function.

8. You can choose a medical protective mask instead of goggles. Personally, I use a medical protective mask without spraying anti-fogging agent. But it is a one-time use.

9. Put on the protective shoe cover and finally put on a layer of gloves, and you can start working.

third,? Problems needing attention in the work of emergency clinic:

1. If you are assigned to an emergency clinic or a fever clinic, if you meet many patients waiting in line to see a doctor, first of all, don't worry yourself and be calm. Colleagues who have no experience in the emergency department will be a little nervous. I suggest sitting down, closing your eyes and taking a rest for dozens of seconds before seeing a doctor. Remember, don't lose your temper first.

2. The consulting room is a polluted area, and everything in it, including medical records, pens, stethoscopes and other portable appliances, is only used in the consulting room, and should not be brought into the rest area. Please pay attention to this detail.

3. In case of serious patient, arrange to go to the observation room immediately. Under normal circumstances, the patient's expression is particularly painful, so it is necessary to pay attention.

4. Patients like to surround themselves to see a doctor, and I usually prevent this from happening. I will tell them loudly that for your own health, please keep your distance and see the doctor in the order of calling. Yell when it's time to yell. When necessary, nurses or security guards are needed to maintain order.

5. The advantage of keeping a distance of more than one meter from the patient is to reduce cross-infection, but the disadvantage is to speak louder. My choice is to keep my distance.

6. Every patient who comes in asks three questions, especially some elderly people need to ask for confirmation repeatedly. I have met many elderly people who can't use smart phones and have limited ability to receive information. 1) The first question, what is the temperature at home (or do you have a fever at home)? Have you ever been in contact with anyone with a fever? Although triage nurses have temperature records, it is more necessary to track the temperature of patients at home. Then ask cough? Then ask if there is any other discomfort.

2) Second question, have you been to South China Seafood City or lived nearby? Have you been there recently or has anyone at home been there? Is there a bazaar near where you live? What do you usually do?

3) the third question, what disease did you have? Especially the elderly patients with basic diseases, focus on. 7. Generally, you can see at a glance whether the patient has shock or dyspnea, and if so, send it to the observation room. If not, you can tolerate the next inspection. I have never used a stethoscope in this respect, and our hospital also has an automatic blood pressure instrument for measuring blood pressure. So there is no need to contact the patient, and the patient does not have to contact the contaminated doctor.

8. lungs? CT, blood routine must be done, conditional hospital nucleic acid examination should be done as much as possible, and other examinations should be done. When there is no nucleic acid test, you can do routine respiratory virus test and differential diagnosis. Pay attention to the fact that the examination should not be too much, which will increase the time for the diagnosis of patients.

9. Combine the patient's symptoms, contact history, medical history and lungs? CT and blood routine test to diagnose whether it is viral pneumonia. Screening of suspected patients, patients who need further diagnosis, designated hospitals for further diagnosis or report according to procedures. Exclude patients from Wuhan novel coronavirus and treat them as usual. Fourth,? Before leaving work after work:

1. The easiest time to pollute is when you take off your protective clothing, so be careful.

2. Wash your hands with disinfectant at the designated place and take off the first layer of gloves; Wash your hands with disinfectant, put on the second glove, take off goggles or medical protective mask, and throw the disposable medical mask in the designated place; Wash your hands with disinfectant, take off the shoe cover and the second layer of gloves; Wash your hands with disinfectant and take off your protective clothing. Pay attention to roll it up from top to bottom and take it off. It is polluted outside and relatively clean inside.

. Wash your hands with disinfectant, go to a relatively safe place, wash your hands with disinfectant and take off the first layer of gloves; Wash your hands with disinfectant, take off your hat, wash your hands with disinfectant, take it off? N95； Wash your hands with disinfectant. See the video of Guangzhou Eighth Hospital above. In short, wash your hands with disinfectant before each step, and throw them in the designated place.

4. Change your work clothes and put on your own clothes and shoes. Wash your face with soapy water and pay attention to your nostrils. Put on a surgical mask at the neck and other places.

5. isolate and disinfect as appropriate after returning home.