Zhaoqing epidemic prevention and control of the latest policy: increase the proportion of critical care beds, the implementation of graded treatment

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At 10:00 a.m. on Tuesday, January 10, Zhaoqing City held its first press conference on the prevention and control of the new coronavirus infection in 2023.

It was pointed out that at present, Zhaoqing City has entered a new stage of epidemic prevention and control, facing a new situation and new tasks, with the focus shifting from “infection prevention” to “health protection and serious illness prevention”, and from risk areas and personnel control to health services and management. In accordance with the latest plan of the State Council joint prevention and control mechanism, from January 8, Zhaoqing City on the new coronavirus infection to implement the “B class B management”, in serious illness treatment, the implementation of graded treatment, vaccination, medical treatment resources ready to do related measures.

Critical care

Strengthen the construction of secondary and tertiary hospitals

Increase the proportion of critical care beds

To cope with the current peak of the new crown epidemic, Zhaoqing City has made every effort to accelerate the city’s critical care bed reserve in accordance with national and provincial requirements, speeding up the completion of the construction and upgrading of comprehensive ICU monitoring units in tertiary hospitals to ensure that the number of comprehensive ICU beds for the treatment of all types of critically ill patients infected with the new crown virus is no less than 4% of the total number of beds actually open in the hospital, and that all critical care units are ready for use. At present, 861 intensive care beds and 724 ventilators have been set up in 34 medical institutions in the city.

Recently, in addition to the 49.6 million yuan of the city’s financial arrangements for the city’s first hospital to increase 200 critical care beds, the city’s central hospital has invested 3.6 million yuan to add 7 new critical care beds into use, another high, Guangning, Deqing, Fengkai, Huaiji, a total of 9 medical institutions to invest a total of about 35.354 million yuan, to add 129 new critical care beds.

At the same time, Zhaoqing City, in addition to the comprehensive ICU to start other specialist intensive care bed expansion and renovation, with reference to the comprehensive ICU standards, its power supply, oxygen supply system transformation, equipped with ventilators, blood purifiers, monitors and other monitoring and treatment equipment to meet the needs of comprehensive critical care, and constantly strengthen the hardware construction of intensive care medicine departments, to further enhance the hospital’s comprehensive capacity for critical care, to ensure that when needed The hospital will be able to provide medical treatment for critically ill patients at any time. Zhaoqing will be fully equipped with critical care medical forces to ensure that every critically ill patient can be effectively treated during the prevention and control of the epidemic.

Increase 20-30% of medical staff

As a reserve force for critical care medicine

In the discipline of critical care medicine and team building, Zhaoqing will be fully equipped with medical and nursing staff related to critical care medicine.

First, Zhaoqing will increase 20% to 30% of medical and nursing staff as a reserve force based on the regular allocation of medical and nursing staff in accordance with the hospital’s requirement that one ICU bed be equipped with one doctor and 2.5-3 nurses based on the total number of beds in comprehensive ICU and other specialized ICU. Through direct supplementation of critical care, good training of convertible critical care physicians and nurses, “internal training and external introduction” of critical care medical force and other means, rapid enrichment of critical care medical personnel.

At the same time, Zhaoqing has strengthened the training of medical personnel in ICU, internal medicine, pediatrics and emergency medicine, and established a mixed team of medical and nursing personnel specialized in critical care medicine and medical and nursing personnel trained in other specialties. To enhance their ability to identify critical illnesses, emergency treatment and comprehensive treatment.

Secondly, Zhaoqing strengthened the training of primary health care institutions in the identification of critically ill patients with new coronavirus infection. Through the training of primary medical personnel, systematically assess the change of patients’ condition, timely detect the tendency of serious illness, intervene early on the emergence of risk factors, start intensive care and treatment at the first time, formulate targeted treatment plans for senior, children, maternal and combined patients with high-risk factors and tendency of serious illness, and organize consultation with municipal expert groups at the right time to avoid the aggravation of patients’ condition to the maximum extent.

Third, Zhaoqing will map out the combined underlying diseases (including coronary heart disease, stroke, hypertension, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, tumors, immune deficiency, etc.) and vaccination against the new coronavirus in this category of people infected with the new coronavirus should be sent to a doctor for treatment as soon as possible, pay close attention to the condition and prevent the progress of patients with serious illness.

Graded treatment

Integrated management of medical and health institutions at the county, town and village levels

Zhaoqing give full play to the role of the county medical community, the establishment of the leading hospital of the medical community to the town and village level medical institutions to help the mechanism, the organization of the leading hospital experts to carry out in-depth medical treatment and technical guidance, to achieve homogeneous management of epidemic prevention and control of member units within the medical community. The medical communities continue to improve the joint outpatient, joint ward, two-way referral and other mechanisms to promote the integrated management of medical and health institutions at the county, town and village levels, and strive to build the county according to the functional positioning of the division of labor and collaboration, hierarchical and hierarchical classification management, the upper and lower through the medical and health service system.

Zhaoqing will carry out training related to the new coronavirus infection for primary doctors, and provide graded treatment for infected patients with different conditions. Zhaoqing will improve the training mechanism for grassroots doctors (including rural doctors), carry out training related to health monitoring, symptom identification, symptomatic treatment and other new coronavirus infections for different positions, and encourage retired doctors to return to work to participate in medical treatment. For home treatment of infected patients, the leading hospital of the county medical community will guide the primary medical institutions (township health centers or community health service centers in the city) to develop treatment guidelines in line with the local reality; for heavy, critical and combined with other diseases, the leading hospital of the county medical community will carry out assessment and admit to different treatment sites for treatment according to different conditions.

At the same time, Zhaoqing has adopted a mechanism for medical treatment of critically ill patients with new coronavirus infections in tertiary general hospitals on a subdivision basis. All tertiary general hospitals in the city established a sub-package responsibility system, in accordance with the principle of sub-package, delineate the area of responsibility, and treat the elderly combined with neocoronavirus infection in the delineated area, to achieve “full coverage” of the management of elderly patients with serious illness, to strengthen staff training, to do a good job of medical force ladder reserve, to improve the ability to receive medical treatment To ensure that the needs of a large number of patients can be met.

Vaccination

The city’s vaccination rate for people over 60 years old is over 98%.

At present, according to the national and provincial unified deployment, Zhaoqing is speeding up the vaccination of new coronavirus, especially the vaccination of elderly people. Zhaoqing is providing vaccination services in various ways, including setting up fixed vaccination points, temporary vaccination points and mobile vaccination teams.

As of January 8, 2023, the city has received 10,106,600 doses of neo-coronavirus vaccine, including 99.02% of the first dose of neo-coronavirus vaccine, 96.66% of the full vaccination rate and 80.39% of the booster vaccination rate for people over 80 years old; 98.16% of the full vaccination rate and 91.54% of the booster vaccination rate for people aged 60-79 years old.

Medical Security

Coordination of hospitals and pharmaceutical enterprises to ensure the supply of drugs

In terms of drugs, Zhaoqing dynamically statistics the city’s medical institutions drug inventory and demand, according to the city’s medical and health institutions daily operation monitoring situation shows, and actively coordinate the drug enterprises priority supply of drugs.

At the same time, actively promote Chinese herbal medicines and other alternative medicines, and Zhaoqing’s expert group on Chinese medicine prevention and treatment of new coronavirus infection has formulated guidelines for Chinese medicine intervention to reduce unnecessary drug grabbing and hoarding by the public.

Through the twinning support of City No. 1 Hospital, the primary medical and health institutions in Duanzhou District, Dinghu District and Zhaoqing High-tech District are coordinated in the deployment of drugs, and other counties (cities and districts) in Zhaoqing are coordinated in the supply and distribution of drugs in the sub-hospitals (township health centers and community health service centers) of the medical community by playing the role of the general hospital of the county medical community and in accordance with the requirements of unified management of medicine and ordnance.