How to write a novelty check report for the intelligent nucleic acid detection robot project

How to write a novelty check report for the intelligent nucleic acid detection robot project?

In order to further enhance our hospital's ability to handle the new coronavirus epidemic, when a positive nucleic acid test for new coronavirus pneumonia occurs within the hospital, we can respond and handle it scientifically, quickly, steadily and orderly, and control the epidemic within a controllable range. According to the spirit of Gansu Epidemic Prevention Office Letter [2021] No. 8 "Notice on Issuing the Emergency Response Plan for Positive COVID-19 Nucleic Acid Tests in Medical Institutions in Gansu Province" and combined with the actual situation of our hospital, this plan was formulated.

1. Work Objectives: In order to further enhance our hospital's ability to handle the new coronavirus epidemic, give full play to the "sentinel" role of medical institutions, and make every effort to protect people's lives, health and safety. When a positive nucleic acid test report occurs within a medical institution, scientific, rapid, stable and orderly handling of the new coronavirus epidemic should be carried out to control the epidemic within a controllable range in the shortest time, make every effort to reduce or avoid the occurrence of hospital infections, and reduce the social impact influence and ensure the quality and safety of medical care.

2. Organizational command system and responsibilities Our hospital has established an emergency response leading group, with the dean as the leader, responsible for the organization, leadership, overall coordination, and supervision of the emergency response work. There are several working groups including the medical working group and the hospital infection prevention and control group, so that the work tasks are clear and the responsibilities are divided

Page 2 *** 18 The tasks are clear, the command and management are orderly, and the information communication is smooth. Ensure that the epidemic situation can be responded to as soon as possible and ensure that the epidemic situation is handled smoothly, quickly and efficiently. The division of responsibilities of the working group is as follows:

(1) Medical treatment team.

Team leader:

Deputy team leader:

Members:

Responsibilities: Responsible for patient medical treatment, referral, consultation, Transfer out and medical personnel scheduling arrangements, etc., organize new coronavirus nucleic acid testing according to the needs of epidemic prevention and control, report diagnosis and treatment information in a timely manner, and make every effort to ensure the medical treatment needs of patients.

(2) Hospital infection prevention and control team.

Responsibilities: Actively cooperate with the disease control department to carry out relevant epidemiological investigations, and at the same time carry out regional division, channel setting, terminal disinfection, personnel infection control training, infection control risk investigation and control according to the risk level. Disposal, etc. to prevent the occurrence of hospital infections.

(3) Information reporting group.

Responsibilities: Responsible for coordinating and mastering various work information of our hospital and summarizing and reporting in a timely manner. Timely sort out the information of patients in the hospital, family members, workers, property management, security, administration and other personnel to provide a basis for administrative decision-making and other work.

(4) Material support team.

Page 3*** Page 18 Responsibilities: Timely sort out various protective materials in medical institutions, including protective equipment for medical personnel, various disinfection products and equipment, various medicines, nucleic acid testing supplies, and medical equipment and other materials to ensure that the quantity and quality can meet the actual needs of the selection.

(5) Logistics support group.

Responsibilities: Ensure the food, housing, transportation, etc. of all medical staff and various staff, meet their living needs, understand the living needs of patients in a timely manner, and solve them in a timely manner. Actively coordinate with relevant departments to contact relevant materials for timely and accurate matching. Ensure the water and electricity required for emergency response by medical institutions, and ensure the collection and transfer of medical waste.

(6) Comprehensive coordination group.

Responsibilities: Responsible for assisting the coordination and dispatching work of our hospital’s emergency response leading group (command), establishing an interconnection mechanism for work information of each group, promptly and comprehensively understanding the work status of each group, and summarizing and reporting in a timely manner , and is also responsible for conference organization, manuscript writing, media communication, and file management.

(7) Others. Each medical institution can add other working groups or special classes as appropriate, such as information publicity groups, nucleic acid testing groups, etc., based on the actual needs of the institution and prevention and control work.

3. Emergency response plan in case of positive nucleic acid test in the ward

Page 4*** Page 18 1. Information report and emergency meeting 1. Laboratory department reports ward nucleic acid test The test result was positive. The nucleic acid test of the laboratory department was positive. After checking the information, it was confirmed that he was a patient in the ward of our hospital. The laboratory department called the ward to notify the patient that the patient's nucleic acid test was positive.

2. The person who answers the phone in the ward immediately reports the incident to the department director and head nurse.

3. The department director called the hospital’s Infectious Diseases Department.

4. The infectious disease department of the hospital reported to the dean and organized an emergency response meeting. After receiving the report, the hospital's Infectious Diseases Department reports to the dean. After receiving instructions, it notifies the epidemic emergency response team (Medical Department, Nursing Department, Security Department, General Affairs Department, Pharmaceutical and Device Department, etc.) to hold an emergency meeting to discuss flow control and information reporting, and personnel deployment. Support, prevention and control technical guidance, personnel clearance and containment management, disinfection material supply, and convene an expert treatment team in the hospital to conduct case verification, diagnosis, treatment, etc. At the same time, the hospital reported to the Municipal Health Commission and Disease Control and Prevention within two hours.

2. Quickly carry out personnel control in the ward: the head nurse notifies all staff in the department to reduce operations and narrow the scope of work. Everyone in the ward should increase their protection level and use the nearest quick hand disinfectant for strict hand disinfection. , check whether the mask is worn properly and adjust it to avoid direct contact with the face; all patients and companions are not allowed to enter or leave the ward, and keep a safe distance from each other.

At the same time, the department director and head nurse made the following arrangements:

Page 5*** Page 18 1) Arrange for staff to deliver protective equipment to the corridor outside the transition ward; 2 ) Doctor A and Nurse B put on hats, protective clothing, gloves, visors, and shoe covers/boot covers in the corridor outside the transition ward (without changing protective masks), then enter the transition ward, comfort the patient, and ask about the condition and epidemiological history again . At the same time, new coronavirus nucleic acid specimens were collected from all patients, attendants and medical staff in the ward, and patients were instructed to wear protective masks at the end. The collected nucleic acid specimens are placed in a two-layer specimen bag and "wiped or sprayed layer by layer for disinfection" before being placed in a specimen transfer bucket. Preliminary screening and registration of patients, attendants and medical staff who enter and leave the ward after the day when nucleic acid-positive patients are admitted. Check and register the patient's movement trajectory after admission.

3) Other staff on duty are responsible for explaining and comforting (at the door as much as possible), ensuring that other patients’ companions are not allowed to leave their respective wards and maintain a safe distance between each other.

4) The access management staff will seal the entrance to the department and post a "no entry" warning outside the ward door.

5) The physician in charge of the patient in the department will report the patient’s basic information to the Medical Department. The Medical Department will organize the hospital’s COVID-19 expert group to conduct a remote consultation within 30 minutes, issue the expert group’s consultation opinions, and report the consultation results to the hospital’s epidemic general manager. command.

6) The Security Department deploys security personnel (the protection level is guided by the Infectious Disease Control Department) to guard the area outside the door of each passage in this department, prohibiting irrelevant personnel from entering and exiting, and guiding 120 transfer vehicles. The hospital's logistics, pharmacy, inspection and other departments have done a good job in closing and controlling the ward

Page 6 *** Page 18 Patient continuation treatment and medical and patient life support work, all materials, medicines, and daily necessities are at the entrance of the ward Conduct contactless handovers.

Hospital: People in all relevant buildings should stay put, and other personnel should restrict their activity areas to control the flow of people.

3. Quickly check the personnel situation.

The ward uses the monitoring system to check the activity route, stay location, stay time, and wearing of masks of nucleic acid positive personnel during the sensitive period (2 days before the patient’s nucleic acid test to the test result); nucleic acid positive personnel Close contact with hospital staff and personal protection conditions; the appearance, stay and movement routes of other staff in the ward in potentially contaminated areas. Collect personnel information during sensitive periods, count the number of patients and staff in the ward during the sensitive period, and the number of people who may be infected outside the ward, and initially determine the number of people at risk of infection.

4. Immediately launch an epidemiological investigation.

Municipal and district disease control personnel immediately stationed in our hospital to conduct investigations. Our hospital provided the floor plan and building layout of the ward. Based on the epidemiological investigation results, scientifically determine the range of close contacts, sub-close contacts and high-risk exposure environment areas related to the epidemic, and implement strict isolation and control. For special groups such as medical staff, the scope of high-risk personnel will be initially determined. After the risk is assessed by hospital infection experts, corresponding measures will be taken (designated isolation, hospital isolation, etc.).

5. Quickly find out the base of personnel and materials.

Page 7 *** Page 18 The first is to immediately sort out the base of all personnel in our hospital, including patients, attendants, medical staff, work and property staff, administrative staff, etc.; the second is to clarify the conditions of all patients and the majors involved, Especially in the case of critically ill patients. The third is to sort out and inventory various supplies such as protection, disinfection, diagnosis and treatment, and immediately replenish urgently needed supplies.

6. Carry out environmental control and disinfection quickly.

Control the wards, nucleic acid sampling points, auxiliary examination departments, etc. where nucleic acid positive personnel pass and stay. Focus on places where nucleic acid-positive people stay for a long time, wear masks irregularly, are densely populated, and have high risks, and immediately conduct environmental and item sampling and nucleic acid testing. After sampling is completed, organize a thorough and final disinfection of potentially contaminated environments and items immediately. After the disinfection is completed, samples will be taken again and nucleic acid tests will be performed to ensure that all indicators after disinfection meet the standards. Based on the preliminary determination of high-risk exposure environment areas by the disease control department, our hospital was divided into emergency zones and key areas were strictly disinfected.

7. Patient transportation. The hospital received a notice from the higher-level health authorities that nucleic acid-positive patients were transferred to designated hospitals. The hospital's Infectious Disease Department organized the Security Department to seal and control the transfer route to ensure that the transfer process was smooth and there was no overlap with other personnel. The medical department organizes patient medical record materials to be shared with designated hospitals, prepares transfer and handover orders, prepares for transfer and handover, and establishes contact with transfer vehicles. After the transfer personnel arrive at the ward through the designated route (the security department will conduct personnel clearance and sealing management in advance), department staff will accompany the patient (wearing a surgical mask) from the dedicated transfer channel to the door to complete handover and registration with the transfer personnel. Disinfect areas where patients pass by.

Page 8 *** Page 18 8. Terminal disinfection. The hospital's Infectious Disease Department instructs medical staff to carry out terminal disinfection of the ward. Use 1000ml/L chlorine-containing disinfectant to disinfect the air in the ward. Close the doors and windows before disinfection, first up and then down, first left and then right, from inside to outside, spray evenly for 60 minutes and then open the windows for ventilation. The items that patients need to take away must be soaked and wiped with chlorine-containing disinfectant containing 1000mg/L effective chlorine for 30 minutes, and then wiped clean with clean water before they can be taken away. Disinfect the elevator room with 1000mg/L chlorine-containing disinfectant (for 30 minutes). Use 1000mg/L chlorine-containing disinfectant to wipe and disinfect walls, floors, and object surfaces; instruments and equipment can be wiped and disinfected with 1000mg/L chlorine-containing disinfectant or 75% alcohol according to their materials; bathrooms can be wiped and disinfected with 2000mg/L chlorine-containing disinfectant; After use, the rags should be treated as medical waste. After use, the floor mops should be soaked in 2000mg/L chlorine-containing disinfectant for 30 minutes, rinsed with clean water and left to dry for later use (exclusively used). After taking off the protective equipment, place it in a double-layer medical waste bag. After sealing, spray 2000mg/L chlorine-containing disinfectant for surface disinfection, and notify the medical waste transport personnel to transport it away in a special car. After the disinfection is completed, multi-point sampling is carried out and sent for inspection.

9. Medical waste disposal. All the medical waste and domestic waste generated by the patient Wang will be treated as COVID-19 waste. After spraying and disinfecting the double bags, a COVID-19 logo will be affixed, and the medical waste transporter (for standard protection) will be notified to have a dedicated person and car transported.

10. Follow-up management: All staff and attendants on duty in the ward will be quarantined and observed. Other medical staff will be transferred to the isolation hotel for quarantine and observation, and the results will be determined in accordance with the investigation by the disease control department

Page 9*** Page 18 Corresponding control measures will be implemented for all close contacts and close contacts, and those who have been exposed outside the hospital will be tracked and dealt with by the disease control department and the public security department.

Under the guidance of the Municipal Disease Control and Prevention and Municipal Health Commission, the hospital has implemented zoning and closed control of the entire hospital.

10. Termination of the plan The termination of the plan will be determined by the epidemic emergency leading group of our hospital based on the outcome of the suspected patient. In principle, after the suspected patient is ruled out of new coronavirus infection, his close contacts can be released from isolation; if the suspected patient is If a person is diagnosed with COVID-19 infection, all close contacts in the department where he/she resides should be isolated and observed for 14 days in a centralized isolation point. Other close contacts should have their health monitored at home and undergo nucleic acid testing on time. When the observation period expires, if there is no abnormality among all personnel, the emergency leader can After the team reported to the Joint Prevention and Control Office, the isolation was lifted, the plan was terminated, and the entire hospital underwent terminal disinfection before receiving patients normally.

Emergency response to a positive nucleic acid test in the hospital 1. The laboratory department reports that the nucleic acid test result of the hospital's infectious disease department is positive. The nucleic acid test report of the laboratory department was positive. After checking the information, it was confirmed that he was an outpatient of our hospital. The laboratory department called the hospital's infectious disease department and reported that the patient's nucleic acid test was positive. At the same time, he called the outpatient nucleic acid sampling point.

2. The infectious disease department of the hospital reported to the dean and organized an emergency response meeting.

After receiving the report, the hospital's Infectious Diseases Department reports to the dean. After receiving instructions, it notifies the epidemic emergency response team (Medical Department, Nursing Department, Security Department, General Affairs Department, Pharmaceutical and Device Department, etc.) to hold an emergency meeting to discuss flow control and information reporting, and personnel deployment. Support, prevention and control technology

Page 10*** 18 guidance, personnel clearance and containment management, supply of disinfection materials, convening an expert treatment team in the hospital to carry out case verification, diagnosis, treatment and other work. At the same time, the hospital reported to the Municipal Health Commission and Disease Control and Prevention within 2 hours.

2. Carry out personnel control quickly. People who are positive for nucleic acid will be immediately quarantined, and people in all relevant buildings will not move on the spot. Other people will be restricted in their activity areas to control the flow of people. The Security Department deploys security personnel (the protection level is guided by the Infectious Disease Control Department) to guard the entrance of the hospital and the areas outside each passage, prohibiting irrelevant personnel from entering and exiting, and guiding 120 transfer vehicles.

3. Quickly check the personnel situation. Quickly monitor personnel status. Use the hospital monitoring system to check the treatment route, stay location, stay time, and mask wearing status of nucleic acid positive persons during the sensitive time period (60 minutes before the patient visits to the present); the nucleic acid positive persons' close contact with hospital staff and personal protection status; The presence, stay and movement routes of other hospital staff in potentially contaminated areas. Collect patient information during sensitive periods, count the number of patients, hospital medical staff, and logistics staff during sensitive periods, and initially determine the number of people at risk of infection.

City and district disease control personnel immediately settled in our hospital to conduct investigations. Our hospital provided building layout drawings and floor plans of each floor and ward. Based on the results of the epidemiological investigation, scientifically determine the range of close contacts, sub-close contacts and high-risk exposure environment areas related to the epidemic, and implement strict isolation and control. For special groups such as medical staff

Page 11 *** 18, the scope of high-risk personnel will be initially determined. After the risk is assessed by hospital infection experts, corresponding measures will be taken (designated isolation, hospital isolation, etc.).

7. Patient transportation. The hospital received a notice from the higher-level health authorities that nucleic acid-positive patients were transferred to designated hospitals. The hospital's Infectious Disease Department organized the Security Department to seal and control the transfer route to ensure that the transfer process was smooth and there was no overlap with other personnel. The medical department organizes patient medical record materials to be shared with designated hospitals, prepares transfer and handover orders, prepares for transfer and handover, and establishes contact with transfer vehicles. After the transfer personnel arrive through the designated route (the security department will conduct personnel clearance and sealing management in advance), the isolation clinic staff (three-level protection) will accompany the patient (wearing a surgical mask) from the dedicated transfer channel to the door to complete the handover with the transfer personnel , registration. Disinfect areas where patients pass.

8. Terminal disinfection. Use 1000ml/L chlorine-containing disinfectant for air disinfection in the isolation clinic room by spraying. Close the doors and windows before disinfection, first up and then down, first left and then right, from inside to outside, spray evenly for 60 minutes and then open the windows for ventilation. The items that patients need to take away must be soaked and wiped with chlorine-containing disinfectant containing 1000mg/L effective chlorine for 30 minutes, and then wiped clean with clean water before they can be taken away. Disinfect the elevator room with 1000mg/L chlorine-containing disinfectant (for 30 minutes). Use 1000mg/L chlorine-containing disinfectant to wipe and disinfect walls, floors, and object surfaces; instruments and equipment can be wiped and disinfected with 1000mg/L chlorine-containing disinfectant or 75% alcohol according to their materials; bathrooms can be wiped and disinfected with 2000mg/L chlorine-containing disinfectant; After use, the rags should be treated as medical waste. After use, the floor mops should be soaked in 2000mg/L chlorine-containing disinfectant for 30 minutes, rinsed with clean water and dried for later use (exclusively used). After taking off the protective equipment, place it in a double-layer medical waste bag.

Page 12*** Page 18 After sealing, spray 2000mg/L chlorine-containing disinfectant for surface disinfection, and notify the medical waste transport personnel to dedicate a dedicated car. Transport away. After the disinfection is completed, multi-point sampling is carried out and sent for inspection.

9. Medical waste disposal. All medical waste and domestic waste generated by positive patients will be treated as COVID-19 waste. Double bags will be sprayed and disinfected and affixed with the COVID-19 logo, and the medical waste transporter will be notified (for standard protection) to have a designated person and a dedicated vehicle to transport the waste.

According to the investigation results of the disease control department, corresponding control measures will be implemented for all close contacts and close contacts. Based on the epidemiological survey, the risk levels of the personnel in the hospital will be distinguished, and centralized isolation observation or home isolation will be determined based on the risk level.

Persons who have been exposed outside the hospital will be tracked and dealt with by the disease control department and the public security department.

11. Termination of the plan 4. Follow-up work should be carried out in a scientific and orderly manner. If the nucleic acid test result is negative, the emergency response work should be completed and the normal diagnosis and treatment order should be restored; if the nucleic acid test result is positive, follow-up work should be carried out in a scientific and orderly manner. Carry out the following tasks.

(1) Scientific decision-making and disposal plan. According to disease control,...