摘要
自2020年初新型冠状病毒肺炎疫情在湖北发生至今一直困扰着我们,甚至影响我们的正常生活,此次廊坊疫情中八支省级医疗支援队纷纷前往支援。某省级三甲医院援廊坊抗疫医疗队于2022年3月17日进驻廊坊市,作为较早进入前线的队伍之一,其进一步探索了医疗队感染防控措施,以降低感染的风险。奥密克戎变异毒株传播力较强,如何在方舱医院收治场所照顾好病人的同时保护工作人员不被感染,医院感染预防与控制工作至关重要。本文进一步从抗疫医疗队住宿安排、通勤车辆安排、离开驻地上下班流程、设立院感防控小组全程督导、人员排班、感控员每班总结工作并改进和加强工勤人员的培训及考核等方面总结了感染防控经验。
关键词: 新型冠状病毒肺炎;方舱医院;感染防控;经验总结
Abstract
Since the outbreak of the new coronavirus pneumonia in Hubei in early 2020, it has been plaguing us and even affecting our normal life. Eight provincial medical support teams have come to support this Langfang epidemic. The anti-epidemic medical team from a provincial-level tertiary hospital in Langfang entered Langfang City on March 17, 2022. As one of the teams that entered the front line earlier, it further explored the infection prevention and control measures of the medical team to reduce the risk of infection. The Omicron variant strain is highly contagious. How to take care of patients in Fangcang shelter hospitals while protecting staff from being infected is very important for hospital infection prevention and control. This article further discusses the accommodation arrangement of the anti-epidemic medical team, commuter vehicle arrangement, the process of leaving and commuting from the station, the establishment of a hospital infection prevention and control team to supervise the whole process, personnel scheduling, and summarizing the work of the infection control personnel in each shift, and improving and strengthening the training and training of workers and staff. The assessment and other aspects summarize the experience of infection prevention and control.
Key words: New Coronavirus Pneumonia; Fangcang Shelter Hospital; Infection Prevention And Control; Experience Summary
参考文献 References
[1] 国家卫生健康委办公厅.关于印发新型冠状病毒肺炎诊疗方案(试行第九版修正版)的通知: 国卫办医函[2022]71号[A/OL]. (2022-03-15).
[2] 王一颖,丁亚兴,罗西贝,朱思伟.新型冠状病毒肺炎疫情下武汉方舱医院的医院感染风险及对策[J].中国医院管理,2020,40(03):65-67+70.
[3] 何隽,叶倩,黄礼明,周亚林,张敬杰.浅谈武汉方舱医院院感防控管理[J].贵州中医药大学学报,2020,42(04): 90-92+98. DOI:10.16588/j.cnki.issn2096-8426.2020.04.022.
[4] 罗西贝,凌瑞杰,丁亚兴,王一颖.新冠肺炎疫情下方舱医院的院感管理实践[J].中国社会医学杂志,2020,37(05): 465-467.
[5] 朱仕超,乔甫,罗凤鸣,尹万红,杨翠,郑岚,程良平,宗志勇.新型冠状病毒肺炎疫情期间四川大学华西医院援鄂医疗队驻地感染防控推荐[J].华西医学,2020,35(03): 255-260.
[6] 江淀淀,温碧玲,叶丽莎,李惠颜,文彬,麦英姬,汤滢.新型冠状病毒肺炎疫情下的专职感控护士在方舱医院中的管理实践[J].广西医科大学学报,2020,37(03):554-558. DOI:10.16190/j.cnki.45-1211/r.2020.03.040.
[7] 李小红,张丽艳,陶品月,梁榕,莫园园,卢舒雨,陈林,黄惠桥.院感督导护士主导的监督机制在武汉方舱医院医务人员感染防控中的应用[J].现代医药卫生,2021,37(11): 1963-1965.
[8] 王婷,刘丽萍,张芳兰,杜松.新冠肺炎疫情期间方舱医院管理的实践探讨[J].卫生职业教育,2020,38(21):145-147.
[9] 危莉,胡豫,张义丹,张明,张进祥.新型冠状病毒肺炎疫情时期方舱医院运行实践与思考[J].中国医院管理,2020,40(03):62-64.
[10] 王楠,王赓歌.方舱医院院内感染影响因素与防控措施探讨[J].医院管理论坛,2020,37(04):92-93.
[11] 周君,杨勇,黄雷,陈康,张文超,熊伟.疫情期间“方舱医院”医药护协作医院感染防控模式实践与效果[J].中国药业,2020,29(09):40-43.
[12] 薛贻敏,周晓芬,陈玉芳,何进椅,程思文,钱欣.方舱医院的展开与院感管理[J].解放军医院管理杂志,2021, 28(04):314-316. DOI:10.16770/J.cnki.1008-9985.2021.04.005.