Guidelines for Medical Observation of Home Isolation in the COVID-19 Epidemic (Isolation Plan for the COVID-19 Epidemic)

Release time: November 21, 2022

Guidelines for home isolation and medical observation of the new coronavirus epidemic

1. Management objects

Includes Special groups of close contacts, close contacts and immigrants after being released from centralized isolation, people who have spilled out of high-risk areas and other people who are unable to undergo centralized isolation medical observation after professional assessment.

2. Place requirements

It is best for home quarantine medical observers to live alone; if conditions do not allow, choose a well-ventilated room in a house as the isolation room to maintain relative independence .

Place tables and stools outside a relatively independent isolation room as a transfer point for non-contact transfer of items.

When using an air conditioning system to ventilate the room, you should choose a split air conditioner. If you use a centralized air conditioner, ensure the normal operation of the air conditioner, increase the fresh air volume, and close the return air in the entire air system.

When conditions permit, try to use a separate bathroom and avoid sharing the bathroom with other family members.

The room should be equipped with thermometers, paper towels, masks, disposable gloves, disinfectants and other personal protective equipment and disinfection products, and trash cans with lids.

3. Management requirements

Community service requirements.

1. Register. Street and community workers should contact the home isolation medical observation personnel in a timely manner, obtain the information of the home isolation medical observation personnel, check whether the living place meets the home isolation medical observation conditions, issue a home isolation medical observation notice, and inform the home isolation medical observation relevant information Requirements, and in accordance with the requirements of "one household, one file" or "one person, one file", register and include them in the community grid management. Understand the situation of special people under home quarantine medical observation such as empty-nest elderly people, patients with underlying diseases, pregnant women, and hemodialysis patients, establish accounts, and provide necessary life support and care services.

2. Monitoring information collection. Streets and communities can regularly ask and collect body temperature, symptoms and other information of home quarantine medical observation personnel twice a day in the morning and evening by establishing WeChat groups, mini programs, etc. If they are found to have fever, dry cough, fatigue, sore throat, loss of smell, People with symptoms such as diarrhea should report immediately, and a dedicated person will contact the 120 negative pressure ambulance and be sent to fever clinics or designated medical institutions for medical treatment based on the nearest principle.

3. Nucleic acid detection. Nucleic acid tests during the period of home isolation and medical observation will be collected by community sampling personnel at the door, and the nucleic acid test results will be pushed out in a timely manner.

4. Environmental cleaning and garbage disposal. Disinfect the walkways, stairs and other places on the floors where people under home isolation and medical observation live, and clean up the garbage at least once a day, and clean it up in a timely manner if necessary.

5. Psychological assistance and social work service requirements. Inform the home isolation medical observers of the psychological assistance hotline number, provide psychological support, psychological counseling and other services to alleviate the negative emotions of the quarantined personnel, prevent and alleviate psychological distress caused by the epidemic, and guard against extreme events caused by psychological pressure. When a home quarantine medical observer is found to have mental health problems, he or she should be promptly referred to the corresponding mental health medical institution.

6. Regular spot checks. Communities should regularly conduct spot checks on people under home isolation and medical observation in their jurisdictions to understand whether they are conducting home isolation and medical observation as required, whether they have left their place of residence, whether they have participated in gathering activities, and whether they have completed nucleic acid testing on time and other activities.

7. Staff protection. When community medical observation managers come into contact with home-isolated medical observers and when handling their pollutants and contaminated surfaces, they should protect themselves, wear disposable work caps, medical surgical masks, work clothes, and disposable gloves, and keep 1 meter away from them. above distance. N95/KN95 particulate protective masks should be worn when transporting positive infected persons, handling pollutants from infected persons and contaminated surfaces, or when other work requires close contact with quarantined persons.

Self-management requirements for home quarantine medical observers.

1. Health monitoring. Medical observers in home isolation should take body temperature measurements and self-health monitoring once in the morning and evening every day, and proactively report the monitoring results to community medical observation managers. During the medical observation period, if symptoms such as fever, dry cough, fatigue, sore throat, loss of smell, diarrhea, etc. occur, community managers should promptly report to the local health administrative department and the disease control agency in the jurisdiction.

2. Going out is prohibited.

During the period of home isolation, code management is carried out. Personnel in home isolation are strictly required not to go out and refuse all visits. For those who really need to go out for medical treatment, etc., they can go out only after approval by the medical observation management staff of the community where they are located. Dedicated people and cars will be arranged, personal protection will be implemented throughout the process, and closed-loop management will be implemented.

3. Personal protection. For those who do not live alone, their daily life and meals should be limited to the isolation room as much as possible, and other personnel are not allowed to enter the isolation room. You do not need to wear a mask when moving in the isolation room, but you must wear a mask when leaving the isolation room. Minimize contact with other family members, keep a distance of more than 1 meter when in contact, and wear medical surgical masks as required. If the home quarantine medical observer is a nursing mother, she can continue to breastfeed her baby on the basis of taking good personal protection.

4. Nucleic acid testing and antigen self-testing. Personnel under home quarantine for medical observation must cooperate with staff in completing nucleic acid testing, antigen self-testing and reporting results in accordance with relevant prevention and control requirements.

5. Health and epidemic prevention requirements.

Keep your home ventilated. Try to open doors and windows every day for ventilation. If natural ventilation is not possible, use exhaust fans and other mechanical ventilation.

Ventilate and disinfect shared areas such as toilets and bathrooms.

You should wash your hands or disinfect your hands when preparing food, before eating and after using the toilet, taking off and wearing masks, etc. When wiping your hands, it is best to use disposable paper towels.

Pay attention to cough etiquette. When coughing or sneezing, cover your mouth and nose with a tissue or use the inside of your elbow. Throw the used tissue into the trash can. Wash or disinfect your hands immediately if you come into contact with respiratory secretions. .

Do not share daily necessities with other members of the family. Tableware should be washed and disinfected after use. It is preferred to boil the tableware for 15 minutes for disinfection. It can also be soaked in a chlorine-containing disinfectant solution containing 250mg/L ~ 500mg/L of available chlorine for 15 minutes and then washed with clean water.

Use chlorine-containing disinfectant containing 250 mg/L to 500 mg/L of effective chlorine on surfaces that may be touched daily such as countertops, door handles, telephones, switches, hot water bottles, wash basins, toilets, etc. Wipe, then rinse with clean water, at least once a day. Wet mop the floor every day with a chlorine-containing disinfectant containing 250 mg/L to 500 mg/L of available chlorine.

When towels, clothes, quilts, etc. of home quarantine medical observers need to be cleaned, they must be placed separately and soaked with chlorine-containing disinfectant containing 250 mg/L to 500 mg/L of effective chlorine for 30 minutes, or boiled Disinfect for 15 minutes and rinse with clean water.

If the family uses a bathroom, the home-isolated medical observers should disinfect the toilet once every time they use it; if the home-isolated medical observers use a separate bathroom, the toilet can be disinfected once a day. The toilet and its surroundings can be wiped and disinfected with chlorine-containing disinfectant containing 2000 mg/L of available chlorine for 30 minutes. Toilet door handles, faucets and other parts that are frequently touched by hands can be wiped and disinfected with chlorine-containing disinfectant containing 500 mg/L of effective chlorine or other disinfectants that can be used for surface disinfection. Wipe clean with clean water after 30 minutes.

Put used tissues, masks, disposable gloves and other domestic garbage into plastic bags and place them in special trash cans. Clean them every day. Before cleaning, use a solution containing 500mg/L to 1000mg/L of effective chlorine. Spray chlorine disinfectant or 75% alcohol to disinfect until completely wet, then tie the plastic bag tightly and discard it with other household garbage.

Disinfect items contaminated by saliva, sputum, etc. at any time. When disinfecting, wipe with chlorine-containing disinfectant containing 500mg/L ~ 1000mg/L effective chlorine, 75% alcohol or other disinfectants that can be used for surface disinfection. Disinfect and wipe with clean water after 30 minutes. For large amounts of pollutants, disposable absorbent materials should be used to completely cover them, and then a sufficient amount of chlorine-containing disinfectant containing 5000mg/L to 10000mg/L of available chlorine should be poured on the absorbent materials for disinfection. The disinfectant should be used for more than 30 minutes and then carefully removed. Then wipe the contaminated surface and the surrounding 2 square meters with a chlorine-containing disinfectant containing 500 mg/L to 1000 mg/L of available chlorine. Wear gloves and masks when handling pollutants. Shower and change clothes after handling.

6. Home isolation and medical observation are lifted. After the home isolation medical observation period expires, those with negative nucleic acid test results and no abnormal symptoms can be released from home isolation medical observation after verification by the community and receiving a home isolation medical observation release notice.

***Required by co-residents or accompanying persons.

1. When accompanying personnel come into contact with home-isolated medical observers and when handling their pollutants and contaminated surfaces, they should protect themselves and wear disposable work caps, medical surgical masks, work clothes, disposable Gloves and keep a distance of more than 1 meter from them.

2. Clean and disinfect hands after any direct contact with medical observers in home isolation, or after leaving their living space, preparing food, before meals and after going to the toilet, before wearing gloves, and after taking off gloves.

3. People with underlying diseases and the elderly cannot serve as caregivers for children, pregnant women, semi-autonomous and incapable of self-care, and other people who are isolated at home.

4.*** The residents or accompanying persons must also comply with the home isolation medical observation management requirements.

Transfer of personnel after centralized isolation.

The community promptly receives relevant information of those who need to be quarantined at home, such as name, gender, age, current address, contact number, ID number, health status, etc. for registration, and then transfers them to the home quarantine location in a point-to-point closed-loop manner. Corresponding transfer vehicles and personnel should be ensured and relevant training should be done. Take appropriate protective measures during transportation.

4. Guarantee requirements

Organizational guarantee. The community where the home quarantine medical observer is located shall designate a dedicated person to be responsible for community medical observation management and sampling services, clarify responsibilities, implement a 24-hour duty system, and promptly discover and solve problems.

Living material support. Establish a demand list during home isolation, identify specialized forces for the supply of daily supplies, optimize terminal distribution, and open up the "last mile" of distribution.

Protective material support. Communities should stockpile sufficient protective supplies, disinfection facilities, medicines, etc.

Medical service guarantee. Communities have established direct hotlines with pharmacies, medical institutions, etc. to connect services and meet residents’ needs for medication and medical treatment. Implement the first-diagnosis responsibility system and the emergency and critical rescue system, and do not shirk or refuse treatment for any reason.

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