A collection of materials for elderly care service institutions’ COVID-19 emergency plans

Collection of COVID-19 emergency plan materials for elderly care services institutions

Emergency plans refer to emergency management and command in the face of emergencies such as natural disasters, major accidents, environmental pollution and man-made destruction. , rescue plan, etc. The following is the contingency plan for the new crown pneumonia epidemic in elderly care service institutions shared by this site. I hope it can help everyone!

Contingency plan for the new coronavirus epidemic in elderly care service institutions 1

On February 21, County Mayor Hao Chunming organized a special meeting on the prevention and control of the epidemic in elderly care institutions, focusing on conveying and learning the spirit of Yinchuan City’s meeting on the prevention and control of the new coronavirus pneumonia epidemic in elderly care institutions, and listened to the Civil Affairs Bureau’s report on the county center Report on the epidemic prevention and control work in nursing homes and Anxin nursing homes, and make further arrangements and deployments to further solidly implement the epidemic prevention and control work in nursing homes in our county. In order to effectively carry out the prevention and control of the new coronavirus pneumonia epidemic in our county's elderly care institutions, this plan is formulated based on the spirit of the meeting and the current actual epidemic prevention and control work.

1. Strengthen responsibilities and implement work at all levels

A leading group for the prevention and control of the COVID-19 epidemic in elderly care institutions of the Civil Affairs Bureau was established. The group leader is Director Xu Jun and the deputy group leader It is headed by Deputy Directors Ha Dongjun and Na Chaoying, and its members are composed of Sun Jing, Xi Jixing, Zhang Yan, Feng Yue, Wang Xiang, and An Jun. The leading group is responsible for organizing and implementing various work on the prevention and control of the new coronavirus pneumonia epidemic in elderly care institutions, and comprehensively arranges and deploys various decisions and requirements of the district, city and county party committees, governments and civil affairs departments on epidemic prevention and control work.

Under the leadership group, there are working groups for the prevention and control of the COVID-19 epidemic in the Central Nursing Home and Anxin Nursing Home. The COVID-19 Epidemic Prevention and Control Working Group of the Central Nursing Home is headed by Hadongjun, and Wang Xiang is the deputy leader. Its members are Sun Jing, Zhang Yan, and Li Quanyi; the COVID-19 Prevention and Control Working Group of Anxin Nursing Home is headed by Wang Xiang. Na Chaoying serves as the deputy team leader, An Jun serves as the deputy leader, and is composed of Xi Jixing, Feng Yue, and Li Wei. The prevention and control working group is responsible for supervising and guiding each elderly care institution to carry out epidemic prevention and control work; supervising the implementation of various decisions and requirements on epidemic prevention and control made by the district, city and county party committees, governments and civil affairs departments; coordinating and solving problems in epidemic prevention and control work in elderly care institutions problem.

At the same time, each elderly care institution has also established a leading group for epidemic prevention and control. The team leader is the dean of each elderly care institution, and its members are composed of staff of the elderly care institution. Each nursing home formulates an emergency plan for epidemic prevention and control in the nursing home based on the actual work situation of each hospital, and implements 24-hour duty duty; implements various decisions and requirements of the district, city and county party committees, governments and civil affairs departments on epidemic prevention and control; real-time monitoring and protection , and effectively protect the health and safety of elderly care service recipients and employees.

2. Establish a working mechanism for epidemic control and clarify the implementation of work tasks

Combined with the implementation of the "Notice on Implementing the Working Mechanism for Epidemic Control, Four Guarantees, One and Four Services" issued by the county party committee Requirements to further implement the management and control of service objects in elderly care institutions. That is: taking the elderly in nursing homes as a unit, led by the deputy director of the Civil Affairs Bureau, leading a department director of the Civil Affairs Bureau and a medical staff to form a special work service team, covering two nursing homes respectively, and coordinating the prevention and control of the epidemic in the nursing homes. problems at work. Management staff, medical staff, and nursing staff in nursing homes must strictly implement their management and control service responsibilities, and do a good job in health monitoring, psychological counseling, and catering delivery for the elderly.

1. The deputy director is responsible for implementing the "monitoring and management responsibilities" and ensuring that "everything is done in the hospital". Comprehensively understand the daily situation of all hospital staff and the elderly, and check the implementation of control measures and staff service conditions once a day; supervise and implement the regulations that people in the hospital cannot go out during the closure period; coordinate and solve problems existing in the epidemic prevention and control work of nursing homes; At the same time, arrange and supervise the department directors of the Civil Affairs Bureau, nursing home managers, and medical staff to implement their respective work responsibilities.

2. The department director of the Civil Affairs Bureau is responsible for implementing the "control responsibilities".

Assist the bureau leaders to clearly understand the daily situation of the hospital's staff and the elderly every day, and check the implementation of control measures once a day; understand the needs of the elderly in the hospital through multiple channels; guide staff and the elderly through WeChat videos, phone conversations, etc. psychological concerns, persuade them not to go out without permission, strictly abide by the regulations in the hospital, and actively cooperate with staff to complete body temperature monitoring and other tasks; coordinate and solve existing problems in the epidemic prevention and control work of nursing homes; at the same time, urge nursing home managers and medical staff to implement respective job responsibilities.

3. Medical staff are responsible for implementing monitoring responsibilities. Strictly follow the relevant provisions of the "Law on the Prevention and Control of Infectious Diseases" and the requirements of the health department, do a good job in disseminating epidemic prevention knowledge during the hospital closure period, and do a good job in health examinations and psychological counseling for staff and the elderly in the hospital; do a good job for staff and the elderly at regular times every day Monitor people's body temperature twice, register daily conditions and promptly share information with members of the bureau's prevention and control leading group; guide staff every day through door-to-door inspections, knocking on doors for confirmation, WeChat videos, phone conversations, heart-to-heart conversations, etc. , the elderly should dispel their psychological concerns and eliminate unnecessary panic, and persuade them to conscientiously abide by the regulations during the epidemic and not go out; urge the staff of nursing homes to implement temperature monitoring of the entire hospital, meal delivery services, and disinfection and sterilization of indoor and outdoor corridors and hospitals.

4. Staff in nursing homes must fulfill their service responsibilities. It is necessary to implement temperature monitoring and meal delivery services for the elderly in the hospital in accordance with service requirements. Assist medical staff to monitor the body temperature of the elderly, understand their health status and keep records. They can also carry out health promotion and psychological counseling for the elderly through inquiries, heart-to-heart conversations, etc.; timely understand the living needs of the elderly in the hospital, and supervise the elderly. People should take personal protective measures such as washing hands frequently and wearing masks; regularly collect garbage from the elderly's rooms and carry out centralized disinfection of masks and garbage. At the same time, disinfection and sterilization of indoor and outdoor corridors and hospitals should be completed to ensure that various monitoring and service guarantees are in an orderly manner.

3. Persevere and do a good job in epidemic prevention and control

1. Do a good job in implementing the documents of the district, city and county epidemic prevention and control work conferences. Staff members of each group, heads and staff of each elderly care institution must conscientiously study the spirit of the meetings and documents issued by the district, city and county party committees, governments and district, city and county civil affairs departments on epidemic prevention and control, and resolutely implement the spirit of the epidemic prevention and control work. Easy to implement. At the same time, we must be familiar with the "Notice of the General Office of the Ministry of Civil Affairs on the issuance of the "Guidelines for the Prevention and Control of Pneumonia Epidemic of Novel Coronavirus Infection in Elderly Care Institutions (Second Edition)"" and the "Notice of the Ministry of Civil Affairs on the Issuance of the Guidelines for the Prevention and Control of Pneumonia Epidemic of Novel Coronavirus Infection in Elderly Care Institutions" "Notice on Medical Treatment Guidelines for People" and other contents, combined with the requirements of the series of notices on epidemic prevention and control in nursing homes issued by the Department of Civil Affairs, we will further learn and understand, resolutely implement the requirements for external prevention of importation and internal prevention of spread, and effectively ensure that everyone Each staff member should know the meeting and implement it item by item.

2. Strengthen internal management and insist on achieving "Ten Things". After the elderly care service institutions implement closed management, they must effectively strengthen internal management and adhere to the "Ten Ordinary Things".

All family members and relatives of elderly people living in nursing homes who visit the nursing home will be refused, the reasons will be explained, and guidance will be done; any elderly people living in nursing homes who will be taken home by their relatives for the New Year in 2019 will not be allowed to visit during the epidemic prevention and control period. , all will be kept at home for observation, and will be notified to move in after the epidemic has stabilized; all staff with registered residence outside Ningxia who went home during the Spring Festival during the Spring Festival will return to Ningxia after their vacation is over, and will be temporarily quarantined at home, and will not be arranged to work in the hospital; during the vacation, they will live in a community During the epidemic prevention and control period, staff in residential communities who are in centralized isolation or home isolation will be temporarily quarantined at home after their vacation, and no admission work will be arranged; all new elderly people who are required to move in will be suspended; all elderly people in nursing homes will be cancelled. Meal delivery service is provided for all meals. Staff will deliver meals to each room every day, and all tableware uses disposable tableware; at the same time, all gathering activities in the hospital are suspended; all staff in the nursing home must implement morning and evening inspection systems every day. Record body temperature and must wear a mask every day; hospital staff are required to spray disinfectant indoors and outdoors to disinfect indoors and outdoors every day; all personnel working in nursing homes must do a good job on duty and cannot go out of the nursing home at will; during the closure period, all people in the hospital must If the elderly are not adaptable to the lockdown, the staff must patiently provide psychological counseling and psychological comfort to the elderly in the hospital; every elderly care institution must set up an isolation place. If an individual elderly person is found to have abnormal body temperature, measures must be taken as soon as possible. Isolation measures should be implemented, and monitoring and inspection should be implemented to prevent accidents and effectively block the transmission route; all volunteer service activities in nursing homes will be suspended. At the same time, each elderly care service institution must arrange for staff to promptly release in-hospital epidemic prevention and control arrangements and related service notices to the families of the elderly residents through various methods such as phone calls, text messages, WeChat, etc., so that the families of the elderly can understand the situation of the elderly in the hospital during the epidemic.

3. Highlight key points and effectively implement various epidemic prevention and control measures. First, on the basis of strict precautions in the early stage, we must effectively grasp the "three highlights" and implement the "four combinations". It is necessary to highlight prevention and control, actively block the virus outside the hospital gate, strictly manage the elderly and staff in the hospital, and prohibit people from entering and exiting; it is necessary to highlight prevention and control management, actively kill the virus before infection, and implement indoor and outdoor inspections and care , sterilization, dispersed dining and other work; it is necessary to highlight isolation monitoring and set up isolation areas to ensure that the epidemic is controllable and preventable once infection occurs. It is necessary to combine the prevention and control of infections in the elderly with the prevention and control of infections among staff, combine epidemic prevention and control with actions to improve the service quality of nursing homes, and combine epidemic prevention and control with food safety, fire safety, hazardous chemical safety, etc. The implementation of closed management will be combined with the admission needs of the elderly to ensure both epidemic prevention and control and safe operation. The second is to effectively implement the "Notice of the General Office of the Ministry of Civil Affairs on the issuance of the "Guidelines for the Prevention and Control of Pneumonia Epidemic of Novel Coronavirus Infection in Elderly Care Institutions (Second Edition)"" and the "Notice of the Ministry of Civil Affairs on the Issuance of Guidelines for the Prevention and Control of Pneumonia Epidemic of Novel Coronavirus Infection in Elderly Care Institutions" "Notice on Medical Treatment Guidelines for the Elderly" requires that operational management be implemented in strict accordance with the relevant provisions of the "Guidelines on Notification". The third is to promptly analyze the weak links in the prevention and control work of each elderly care institution, and implement the regulations in a detailed and practical manner in accordance with the requirements of early detection, early reporting, early isolation, early diagnosis, and early treatment. We must guard against omissions, buck-passing, laxity and paralysis, and continue to strengthen our responsibility for epidemic prevention and control.

4. Actively coordinate to ensure the safety of the supply of epidemic prevention and control materials

During the prevention and control period, if there is a shortage of protective equipment and daily necessities in various elderly care institutions, the person in charge of the elderly care institution or the Civil Affairs Bureau will Personnel should actively coordinate and contact, and adopt door-to-door delivery methods to solve the problem. We must resolutely prevent staff from going out to purchase daily necessities and protective materials. Whenever a nursing home needs to purchase daily necessities and materials, the supplier will deliver them to the gate, and the delivered daily necessities and materials must be registered and recorded. The registration and filing must record in detail the delivery time, name of the delivery person, ID number, supplier, contact number, name and quantity of purchased materials, etc. After inventory, daily necessities and supplies must be disinfected before admission. Daily necessities sent to the elderly by their relatives must also be disinfected before being handed over to the individual. At the same time, the Civil Affairs Bureau will actively seek support from all walks of life to solve the funding and material security issues existing in elderly care institutions in terms of epidemic prevention work and daily needs.

5. Summarize experience and continuously improve various systems

In this epidemic prevention and control work, it has been exposed that the elderly care institutions in our counties are responding to public health emergencies. There are also problems such as lack of meticulous management and insufficient experience in responding to public health emergencies. The persons in charge of each elderly care institution must be clearly aware of their own problems, sum up experience and find deficiencies based on the prevention and control work carried out in recent days, and carefully implement the rectifications and issues raised by each inspection team during the supervision and inspection process. At the same time, we must further improve various work systems, strengthen supervision and inspection, overcome paralysis and carelessness, continuously improve various measures for epidemic prevention and control, continuously strengthen work styles, improve work efficiency, and comprehensively improve the health and hygiene of nursing homes in response to public health emergencies. Incident handling capabilities ensure a comprehensive victory in epidemic prevention and control.

VI. Work Requirements

1. The Civil Affairs Bureau will coordinate and arrange for the telecommunications department to install monitoring equipment at the entrances and exits of each elderly care institution, and supervise the implementation of the prohibition of personnel entry and exit in each elderly care institution, as well as visitors and purchases Implementation of daily necessities registration.

2. Members of each team must perform their respective work responsibilities according to work requirements. The bureau’s epidemic prevention and control leading group will conduct random checks on the implementation of prevention and control work in various nursing homes from time to time. If it is found that the staff of a nursing home fail to perform their duties properly or shirk their duties, the relevant responsible persons will be held accountable in accordance with relevant regulations. New Coronavirus Epidemic Emergency Plan II for Elderly Care Service Institutions

1. Scope of Application

This guideline applies to elderly care service institutions in our province, including social welfare homes, social welfare centers, nursing homes, and elderly care centers , elderly apartments, township nursing homes; community home-based elderly care service centers, elderly care institutions, day care centers, elderly care stations, elderly care stations, rural happiness homes, etc.

2. Overall requirements and basic principles

All elderly care service institutions must properly handle the relationship between epidemic prevention and control and resumption of work and production, based on the principles of science, rationality, moderation, and effectiveness, and highlight Focus on classification and implement policies. Strictly implement various prevention and control measures, do a good job in assessment before resuming work, prevent external importation, and prevent internal spread, and achieve early detection, early reporting, early isolation, and early treatment. Prevent the spread of the epidemic within the scope of elderly care service institutions after resumption of work and production, and ensure the health and life safety of the general public.

All units must follow the "Notice of the Joint Prevention and Control Mechanism of the State Council on Issuing Guidelines for Epidemic Prevention and Control Measures for the Resumption of Work and Production of Enterprises and Institutions" (Guofa Dian [2020] No. 4) The "Guidelines for the Regional and Graded Prevention and Control of the Novel Coronavirus Pneumonia Epidemic in Guangdong Province (Trial Second Edition)" (Guangdong Epidemic Prevention Guidance Office Mingdian [2020] No. 42) requires that the work related to the resumption of work and production be organized and implemented based on the local grading situation.

3. Division of responsibilities

Each elderly care service institution must implement the main responsibility for epidemic prevention and control, the business department must implement regulatory responsibilities, and the local health department is responsible for providing technical guidance.

IV. Main measures

(1) Establish and improve the epidemic prevention and control mechanism.

Elderly care service institutions must establish a leading group for epidemic prevention and control. The main person in charge of the institution shall be fully responsible for prevention and control work. A health management team must be established, and a person in charge of health management shall be established to proactively connect with the local health department. Formulate and implement prevention and control plans and emergency plans, divide them into zones, and assign responsibilities to each person. Establish infection control and isolation systems and procedures within the institution and organize their implementation.

(2) Preparation before resumption of work.

Eight tasks must be implemented before resuming work, referred to as "Eight Ones": establish a health file for employees, conduct a temperature check, provide a mask, set up an isolation area and observation room, and make a phone call (Inform medical institutions if patients with fever are found), carry out a health education, carry out a patriotic health campaign, and carry out humanistic care. Release the epidemic prevention and control arrangements and relevant epidemic prevention and control knowledge of elderly care service institutions to the elderly and their families through various means such as announcements, phone calls, text messages (WeChat, and emails), and post prevention and control notices and place promotional brochures at the main entrances and exits of elderly care service institutions. . Strengthen the publicity and education of employees on epidemic prevention and control knowledge, and guide employees to take daily personal protection and reduce going out after returning to work.

(3) Personnel access management.

1. Strictly follow the "Notice of the Office of the Guangdong Provincial New Coronavirus Pneumonia Epidemic Prevention and Control Headquarters on Strengthening the Prevention and Control of the New Coronavirus Pneumonia Epidemic in Key Institutions" (Guangdong Epidemic Prevention Directorate Office Mingdian [2020] No. 36 ) relevant requirements, suspend visitor consultation and reception services, volunteer services, social practice and other activities. For those who really need to communicate, make full use of telephone, video and other information methods to establish convenient online communication channels to strive for the understanding and support of relatives of service recipients. . Family members are suspended from delivering meals to the elderly, and meals for the elderly are provided by the canteens of elderly care service institutions. Express delivery, takeout, and medicine delivery personnel are prohibited from entering. Arrange special personnel to receive the daily necessities or ordered items delivered by family members, disinfect the outer packaging (75% medical alcohol or chlorine-containing disinfectant) and then hand them over to the elderly. It is necessary to set up dedicated personnel at each entrance and exit of the elderly care service institution to conduct temperature checks on each person entering. Only those with normal body temperature can enter.

2. Elderly care service institutions will suspend accepting new service recipients; for service recipients who request to return to the hospital after leaving the hospital for the New Year, they should strengthen communication with their families and recommend that they return to the hospital after the epidemic is resolved. Elderly people who really need to return to the hospital during the Spring Festival due to special circumstances such as having no one to take care of them at home. If they have no suspected symptoms and have no experience of staying in or contacting areas with high epidemic incidence within 14 days, they can return to the hospital and must be quarantined in the institution. (Isolation room) can only be returned to the living area after 14 days of observation and no abnormalities.

3. Staff who return to work must undergo 14 days of quarantine and observation before returning to work. Strengthen the management of staff, requiring them to try not to go out after get off work, and not to participate in gatherings such as dinners and parties. Elderly care service institutions that have the conditions to do their best to arrange for staff to live in the institution, and try to arrange for them to live in different rooms; staff who live outside must wear masks when commuting to and from get off work, and avoid entering and leaving crowded places. If suspected symptoms appear in the place of residence, You should seek medical treatment promptly and report to the elderly care service agency. Except for those who go out for purchasing or clerical work, try to minimize the number of staff going out. Staff who go out to purchase or handle services must take personal protection before going out. When returning to the institution, they must conduct temperature checks, hand disinfection, and change work clothes, shoes and hats, gloves, masks, etc.

4. Elderly care service institutions should set up health managers to register and manage the health information of the elderly and employees. They should be responsible for collecting the daily health status of employees in the unit and reporting it as required. Once elderly people and employees with symptoms such as fever and cough are found, they should be sent to the nearest fever clinic for investigation and treatment on the premise of taking good personal protection.

5. An isolation observation room should be set up in the elderly care service institution, equipped with corresponding protective equipment (protective clothing, medical masks, gloves, etc.), and equipped with necessary living and nursing service conditions; if possible, set up isolation areas and disinfection rooms . The isolation room (area) should be set up in a relatively independent, well-ventilated single room with an independent toilet, and be located downwind of the elderly care service institution.

(4) Protection of the elderly.

1. Daily room inspection, measure the temperature of the elderly residents in the morning and evening, and keep health records. For the elderly with chronic diseases, monitor blood pressure, blood sugar and other indicators, take medications regularly, and prevent and control chronic diseases.

2. Remind or assist the elderly to do personal hygiene such as washing and bathing every day, and encourage the elderly to wash their hands frequently; keep the elderly’s mouth, body, clothing, bed unit and living room clean and hygienic; do a good job Disinfection and cleaning of excrement and vomitus of disabled and semi-disabled elderly people.

3. Institutions with the necessary conditions encourage the elderly to carry out appropriate outdoor activities, strengthen physical exercise, and enhance resistance.

4. Elderly care service institutions have suspended group meals and instead delivered meals to the elderly’s homes to ensure adequate drinking water and nutritional intake for the elderly.

5. Carry out publicity and education on basic knowledge about the epidemic and related prevention and control, and educate the elderly on the need to wear masks in public activity spaces within the institution, take personal protection, and develop good hygiene habits.

6. Strengthen the psychological adjustment of the elderly, do a good job in positive publicity and education, provide television, radio, reading and other cultural and entertainment services for the elderly in the living room, and use the telephone, Internet, etc. to provide the elderly with communication with their relatives. Family-oriented communication services can relieve anxiety and fear and guide them to maintain a normal schedule and a regular life. The elderly under observation in the isolation area should be given special care and psychological support services should be provided in a timely manner when necessary.

7. During the epidemic prevention and control period, in principle, the elderly in the institution should not go out. If they do go out for medical treatment and other special reasons, protective measures must be taken. After returning to the hospital, they must stay in the isolation area (isolation area) of the institution. room) and observe for 14 days before returning to the living area.

(5) Keep key places and facilities clean.

Strictly follow the "Guidelines for the Prevention and Control of Pneumonia Infected by Novel Coronavirus in Elderly Care Institutions", "Guidelines for Sanitation and Disinfection of Pneumonia Preventing Novel Coronavirus Infection in Elderly Care Institutions (First Edition)" and "Guidelines for the Prevention and Control of Pneumonia Infected by Novel Coronavirus in Elderly Care Institutions (First Edition)" "Guidelines for Cleaning and Disinfection of **Place Bathrooms to Prevent Novel Coronavirus Infection Pneumonia Epidemic (First Edition)" "Guidelines for the Operation and Management of Air Conditioning and Ventilation Systems in Office Places and Public Places During the New Coronavirus Pneumonia Epidemic" ***Guidelines for Cleaning and Disinfection of Elevators (Escalators)" and other requirements, strengthen the cleaning and disinfection of key places such as office areas of elderly care institutions, elderly activity rooms, canteens, dormitories, toilets, garbage rooms, isolation areas, and air conditioning and ventilation systems, elevators Maintenance and management of key facilities.

(6) Reduce the gathering of people.

Elderly care service institutions in high-risk prevention and control areas have suspended large-scale concentrated activities, cultural entertainment and other gathering activities; elderly people are not allowed to organize or participate in gathering activities. Elderly care service institutions in medium-risk prevention and control areas restrict large-scale concentrated activities, cultural entertainment, and folk gathering activities, and the elderly reduce gathering activities.

5. Prevention and control measures after the outbreak

If an infection case occurs in the institution, relevant prevention and control measures should be carried out in a timely and effective manner in accordance with the requirements of government departments.

(1) If the elderly develop suspicious symptoms of COVID-19, they should be immediately transferred to the isolation area (isolation room) in the institution and their family members should be notified. The family members or staff of the elderly care service institution will provide effective protection under the conditions of effective protection. If accompanied to the hospital and the confirmed case is not a suspected case, the elderly must be observed in the isolation area (isolation room) of the institution for 14 days before returning to the living area; the accompanying staff must be quarantined at home or in the institution for 14 days before returning to the living area. Return to work.

(2) Elderly people who are diagnosed as suspected cases or infected cases should be sent to designated medical institutions for treatment, immediately report to relevant departments in accordance with epidemic monitoring requirements, and conduct close inspections under the guidance of local health or disease control agencies. Contacts (other elderly people and staff in contact, etc.) will be investigated, quarantined for 14 days, and assisted in comprehensive disinfection, standardized disposal of personal belongings and other disposal work. Those who need to return to a nursing home after recovery should be quarantined and observed for 14 days before moving in; staff involved in escorting should also be quarantined and observed for 14 days.

(3) If staff develop suspicious symptoms of COVID-19, they should stop working immediately and go to a medical institution for investigation. If the confirmed case is not a suspected case, they must be quarantined at home or in an institution for 14 days and observe no abnormalities before they can return. Return to work; those who are suspected cases or confirmed cases of infection should be sent to designated medical institutions for treatment, and immediately report to relevant departments according to the epidemic monitoring requirements. Close contacts (other elderly people and working people who have been in contact with them) should be screened under the guidance of local health or disease control agencies. personnel, etc.) to conduct investigations, implement centralized medical observation, and assist in comprehensive disinfection, standardized disposal of personal belongings and other disposal work. Those who need to return to work after recovery should be quarantined and observed for 14 days before returning to work if there are no abnormalities. New Coronavirus Epidemic Emergency Plan III for Elderly Care Institutions

1. Establish a Prevention and Control Emergency Leading Group and Establish a Guarantee Mechanism

The New Coronavirus Epidemic in Elderly Care Institutions in which the Main Person in Charge is the Leader of the Leading Group The emergency leadership group consists of functional groups such as medical support, safety logistics support, and disinfection, and has a clear division of responsibilities.

2. Implement emergency measures

This plan should be activated if confirmed cases, suspected cases and asymptomatic infections occur during the resumption of work and production.

(1) Sporadic cases

1. When a suspicious case is discovered, the case should be immediately directed to a temporary medical observation point or a separate isolation observation room for observation, and the community (village) where the institution is located should be contacted. After preliminary investigation by medical institutions such as the community health service center (township health center) where the patient lives, the patient will be sent to a designated hospital in the jurisdiction for diagnosis and treatment. Once confirmed, the patient will be reported to the local Center for Disease Control and Prevention immediately.

2. Cooperate with the disease control agency to conduct epidemiological investigations of close contacts and investigate all persons who have been in contact with cases or asymptomatic infections. In accordance with the principles of territorial management, close contacts will be placed under centralized isolation and medical observation in accordance with the latest version of the COVID-19 prevention and control plan or the latest relevant documents. During the isolation period, if symptoms of suspected COVID-19 such as fever or cough occur, they must be sent to a designated hospital for investigation and treatment in a timely manner.

Except for close contacts, people who have been in contact with the case but do not meet the principles for determining close contacts are determined as general contacts. General contacts should be registered and informed of health risks. They should be instructed to promptly notify the health manager if they develop fever, cough or other suspected symptoms of COVID-19. They should also actively inform the recent activity history, conduct temperature checks, and wear masks.

All personnel who cooperate with disease control agencies in epidemiological investigations should take personal protection and wear medical surgical masks.

3. Under the guidance of the disease control agency and in accordance with national and provincial disinfection guidelines, clean, disinfect at any time and terminally disinfect the dormitory where the case is located, related activity areas, and elevators.

Carry out cleaning, disinfection and epidemic prevention work in other areas; strengthen the disinfection of ventilation and air conditioning and other public facilities and public utensils in the place, and conduct daily disinfection of office areas and activities of the elderly. Disinfect key places such as rooms, canteens, dormitories, bathrooms, garbage rooms, and isolation areas; all workplaces and canteen entrances should be equipped with alcohol-based hand sanitizer, and toilets should be equipped with hand sanitizer to guide and urge employees to perform good hand hygiene.

4. In accordance with the recommendations of the health department and in accordance with the needs of epidemic prevention and control, closed management will be initiated, measures such as dormitory and building blockades will be adopted according to local conditions, personnel entry and exit will be strictly restricted, and the entry of outsiders and vehicles will be strictly controlled. Make appropriate adjustments to work arrangements in a timely manner and take measures such as suspension of work and production when necessary.

5. Do a good job in safety logistics support to ensure the smooth development of emergency work. Ensure the supply of facilities, equipment and materials requiring emergency response. Ensure the safety of catering and drinking water. Strengthen inspections and control, promptly stop group gathering activities, and promptly handle safety emergencies.

6. The medical staff of our institution should assist the local disease control agency in carrying out epidemiological investigations, sampling, and screening of close contacts. Continue to do a good job in health monitoring of institutional employees, and cooperate with the health department to monitor the health of centralized isolation medical observation personnel. Maintain information communication with the main person in charge of the unit and the disease control department every day, and report the latest situation in a timely manner.

7. Do a good job in publicity and psychological counseling of personnel. During the epidemic, it is necessary to do a good job in public opinion monitoring, mental health guidance and health education. Promote COVID-19 prevention and control knowledge through various channels. Based on the actual situation of different groups such as confirmed cases, suspected cases and close contacts, targeted psychological support and crisis intervention work will be carried out to stabilize the emotions of the elderly and employees and avoid excessive panic.

(2) There are 2 or more cluster cases within 1 week. The local CDC should be reported immediately, and corresponding control measures will be taken after evaluation by epidemic prevention and control experts. Implement hard isolation in buildings and courtyards where clusters of epidemics occur.

3. Termination of the plan

When the case has been isolated and treated, the close contacts have been observed for 14 days, there are no new cases in the follow-up, the environment has been effectively disinfected, and it has been evaluated by the health department , the response may be terminated at the decision of the institutional epidemic emergency leadership team.