The Health and Health Commission issued the "Guidelines for Public Scientific Wearing of Masks". Do clinics still need to wear masks?

On March 18, the joint prevention and control mechanism of the State Council released the "Guidelines for the Public to Wear Masks Scientifically", which classified the general public, personnel in specific places, occupational exposure personnel and key personnel, and put forward suggestions for scientific guidance in wearing masks in different scenarios.

As a routine medical institution to carry out diagnosis and treatment, the medical staff in outpatient department belong to occupational exposure personnel, and should wear medical surgical masks, and implement pre-inspection and triage according to the guidelines for returning to work to ensure that protective equipment is in place, and provide masks for patients who do not wear masks when necessary, so as to receive medical treatment normally.

1, conditional mask removal, what did the clinic say?

The joint prevention and control mechanism of the State Council recently issued the Guidelines for the Public to Wear Masks Scientifically, which classified the general public, people in specific places, people with occupational exposure, and key personnel, and put forward suggestions for scientific guidance on wearing masks in different scenarios.

According to the Guide, it is not necessary for the general public to wear masks at home or outdoors without crowds and good ventilation.

Outpatient service still needs to pay attention to the following points:

The Guide stipulates that in medical institutions such as outpatient clinics and consulting rooms, in addition to medical personnel and emergency medical personnel, security guards and cleaners for outpatient prevention and control also belong to occupational exposure personnel, and medical surgical masks should be worn in accordance with the Guide.

When the outpatient department receives consultation, it should meet the prevention and control requirements of local medical institutions. Timely check the protective equipment needed for epidemic prevention, especially medical surgical masks and disposable medical masks.

Outpatients and clinics need to implement access mechanisms and hospital infection prevention and control measures to ensure that patients are in a protective state when they enter medical institutions. When a patient comes to see a doctor, if the other person does not wear a mask with relevant protection standards, the institution needs to provide at least one disposable medical mask to guide him to see a doctor according to the pre-inspection and triage mechanism and relevant regulations.

Although the current epidemic situation is drawing to a close, primary medical institutions still cannot relax their vigilance, and many provinces are still in the state of emergency response to major public health incidents. According to the report of Wuhan Municipal Health and Health Commission, there have been 6 confirmed cases of infection in Wuhan for 5 consecutive days. The patient's activity track is in the community, and the possibility of community infection cannot be ruled out.

Clinics serving the community should continue to conscientiously implement pre-inspection and triage, and may not accept patients with fever without authorization. When patients have symptoms such as fever and respiratory infection, they should be promptly guided to the designated fever clinic for treatment, detection and treatment.

2. "Guide to wearing masks scientifically"

Wearing masks scientifically can prevent respiratory infectious diseases such as COVID-19 and influenza, which not only protects oneself, but also benefits public health.

At present, in the fight against the epidemic in COVID-19, in order to guide the public to wear masks scientifically, effectively prevent and control the epidemic and protect public health, the following guiding opinions are put forward. ?

the public

At home and outdoors, there is no crowd gathering and good ventilation.

Protective suggestion: Don't wear a mask.

In crowded places, such as offices, shopping malls, restaurants, conference rooms, workshops, etc. ; Or take a van elevator, public transportation, etc.

Protection suggestions:

Spare masks (disposable medical masks or medical surgical masks) should be carried in low-and medium-risk areas, and masks should be worn in close contact with others (less than or equal to 1 m).

Wear disposable medical masks in high-risk areas.

For people with cold symptoms such as coughing or sneezing.

Protective suggestion: Wear disposable medical mask or surgical mask.

For those who live with people who are isolated at home and discharged from the hospital.

Protective suggestion: Wear disposable medical mask or surgical mask.

Personnel in specific places

In crowded hospitals, bus stations, railway stations, subway stations, airports, supermarkets, restaurants, public transportation and the import and export of communities and units.

Protection suggestions:

In low-risk areas, workers wear disposable medical masks or medical surgical masks.

In high-risk areas, workers wear medical surgical masks or protective masks meeting KN95/N95 and above.

In prisons, nursing homes, welfare homes, mental health and medical institutions, as well as classrooms in schools, dormitories on construction sites and other crowded places.

Protection suggestions:

In low-risk areas, spare masks (disposable medical masks or medical surgical masks) should be carried with you every day, and masks should be worn when people gather or come into close contact with others (less than or equal to 1 m).

In high-risk areas, workers wear medical surgical masks or protective masks that meet KN95/N95 and above; Other personnel wear disposable medical masks.

Key staff

Suspected cases, confirmed cases and asymptomatic infected persons in novel coronavirus; Close contacts of novel coronavirus; Entry personnel (from the beginning of entry to the end of quarantine).

Protective suggestion: Wear a medical surgical mask or a protective mask meeting the standards of KN95/N95 and above, without an exhalation valve.

Occupational exposure personnel

General clinics, wards and other medical personnel; Emergency medical staff in medical institutions in low-risk areas; Administrative personnel, police, security, cleaning, etc. Engaged in epidemic prevention and control.

Protective suggestion: wear a medical surgical mask.

Ward and intensive care unit staff of patients with confirmed cases and suspected cases in novel coronavirus; Medical staff of designated medical institutions in fever clinics; Medical staff in emergency departments of medical institutions in high-risk areas; Epidemiological investigation, laboratory testing, environmental disinfection personnel; Transport confirmed and suspected cases.

Protective suggestion: wear a medical protective mask.

Operators engaged in the collection of respiratory specimens; Staff who perform tracheotomy, tracheal intubation, bronchoscopy, sputum aspiration, cardiopulmonary resuscitation or lung transplantation and pathological anatomy for novel coronavirus patients.

Protective suggestions: hood-type (or full-face type) power filter respiratory protector, or half-face power filter respiratory protector with goggles or full-face screen; P 100 anti-particle filter element is required for both respiratory protectors, and the filter element cannot be reused. Protective equipment should be used after disinfection.

Precautions for use

Respiratory protective equipment includes masks and masks. Wash your hands before putting on gloves and after taking them off.

Pay attention to the front, back, up and down when wearing a mask. The mask should cover the nose and mouth, and adjust the nose clip to fit the face.

Avoid touching the inside and outside of the mask with your hands when wearing it, and remove the mask by stirring the strings at both ends.

Wearing multiple masks can not effectively increase the protective effect, but increase the respiratory resistance, which may damage the sealing performance.

There is no evidence to prove the effectiveness of various measures such as mask cleaning and disinfection.

Disposable medical masks and surgical masks are limited to use, and the cumulative use shall not exceed 8 hours. Occupational exposure personnel shall not use masks for more than 4 hours and shall not use them repeatedly.