"5 should be 5 exhausted"! Hunan Provincial Vocational Defense Hospital makes every effort to ensure timely treatment of new crown patients

Read Time:5 Minute, 40 Second

After the full treatment by the medical staff of the Second Department of Occupational Diseases of Hunan Provincial Occupational Disease Control and Prevention Hospital, on the morning of January 28, the 100-year-old grandmother Luo was discharged from the Provincial Occupational Disease Control Hospital. This is the oldest patient with new crown virus infection treated by the Provincial Vocational Hospital since the new crown epidemic. On the same day, the family of Grandma Luo sent a red banner for the medical staff to express their gratitude.

“Senior citizens are mostly accompanied by underlying diseases and are relatively more difficult to treat with new coronavirus infection. It is our goal to do everything possible to increase the admission and cure rates!” The hospital president Tan Yong introduced, since the new crown epidemic prevention and control policy adjustment, the provincial vocational defense hospital quickly adjust the prevention and control strategy, timely shift the focus of work from “prevention of infection” to “health, prevention of serious illness, reduce the death of disease”, adhere to the “five The hospital will adhere to the “five strengthening”, do “five should do”, make every effort to ensure timely treatment of patients with new coronavirus infection, and resolutely guard the health and safety of the people.

Reinforce advance planning, medical resources to achieve “should be prepared as much as possible”

Before the arrival of the peak of the new crown epidemic infection, the hospital’s leading group for the prevention and control of the new crown epidemic acted as the “command” of the hospital’s epidemic prevention and control work, scientifically studied and judged the situation of the epidemic, and clearly and quickly allocated additional emergency medical care, critical care, testing and detection instruments and equipment. The management of medical material reserves is strengthened, and a complete list of material reserves is established and dynamic monitoring of material and equipment is implemented. Implementing “one hospital”, the hospital rapidly expanded the capacity of the critical care ward with 50 beds and established a new sub-critical care ward with 70 beds, increasing the number of open beds from 716 to more than 900. The hospital also implemented emergency recruitment, expanded the medical treatment team, and implemented a mixed group of critical care and stratified zoning treatment guidance to prepare for treatment.

Strengthening the upgrading and transformation of fever clinics to achieve “as many as possible”

With the arrival of the “epidemic peak”, the number of patients is rising day by day. In order to better serve patients, the hospital has taken innovative measures to increase the capacity of the fever clinic by adjusting the space in the hospital area, transforming the nucleic acid testing office into a local office, and reconstructing the consultation room in a cubicle. We optimized the consultation process, opened special channels, set up eye-catching signs for consultation, and arranged for on-site guidance by medical staff to improve the efficiency of consultation and reduce the chance of cross-infection. The fever clinic is open 24 hours a day to meet the needs of patients.

Reinforcing efficient triage, emergency patients can be seen as often as possible

In the face of unprecedented pressure for medical treatment, we have fully implemented appointment booking and staggered consultation periods to reduce crowd gathering. We have established a mechanism to connect outpatient and emergency clinics with wards, optimized the treatment flow, and made a good connection between fever clinics, outpatient clinics and wards so that patients can run less errands. Dedicated staff dovetail with 120 and family physicians to accelerate the speed and efficiency of admissions by stratifying treatment according to the condition. Establish and improve the priority treatment system for patients with acute and critical illnesses, and prioritize medical treatment for special groups such as acute and critical illnesses and maternity. The “expert group” is formed to provide free health consultation services and rehabilitation guidance, to address the needs of home-based infected patients for medical treatment and to guide patients to seek proper medical treatment.

Reinforcing the responsibility of first consultation, and “accepting as many patients as possible” for inpatients

“Not to reject any patient” has become the consensus of the whole staff and the direction of efforts. Huang Lei, vice president of the hospital, introduced that all initiatives are centered on the goal of “collecting as many patients as possible”. The hospital strictly implements the first-care responsibility system and the emergency critical care system, clarifies the “three criteria” for admission, transfer and discharge, and instructs departments to speed up bed turnover, make efficient use of medical resources and treat patients urgently. We break the boundaries of specialties, departments and beds, implement “one bed for the whole hospital”, evaluate the condition of patients with new coronavirus infection in a hierarchical manner, and admit patients with general, sub-critical and acute critical illnesses separately; dynamically update the number of patients in the hospital and the number of critical patients every day, and coordinate the dispatch of beds in 16 wards to realize “empty beds”. Empty beds” can be flexibly applied.

“Coming, I’ll be right there!” “Line me up, I can still hold on” …… In order to make patients feel at ease, the medical staff of the provincial vocational defense hospital “medical straight online”, in order to take practical action to press the bottom of the treatment of critical patients in tertiary public hospitals The responsibility.

The actual action is to make sure that the responsibility of the public hospital for the treatment of patients with serious illnesses is fulfilled.

Focusing on the goal of “preserving health, preventing serious illness and reducing death”, the hospital set up a medical treatment expert group for new coronavirus infections, responsible for guiding the treatment of patients with new coronavirus infections in the hospital. The hospital strictly implements five systems, including “daily assessment of serious patients, consultation of difficult cases, regular rounds of expert group, overall care, and discussion of death cases”, and conducts daily consultation and list management of serious patients to ensure homogeneous treatment. The hospital has started the mechanism of convertible wards, transformed the national key clinical specialty occupational disease department into an intensive care ward, and treated patients with severe neocoronavirus infection, increasing the number of intensive care beds in the hospital several times. Strengthened the training of medical staff in critical care resuscitation techniques and equipment use, standardized anticoagulation, prone ventilation and other treatments, and accelerated the enhancement of acute and critical care treatment capabilities.

“Although the peak of infection has passed, the protection of the elderly population and the treatment of critically ill patients still need attention.” Jiang Wenjun, secretary of the party committee of the hospital, said that every life is worthy of our efforts, which is also the original intention and mission of 638 vocational defense people.