新型冠状病毒肺炎期间四分预检分诊法在妇幼保健院发热门诊中的应用体会

Experience in the application of four-classification previvew and triage method in fever clinic of maternal and child health hospital during coronavirus disease 2019 period

目的探讨新型冠状病毒肺炎期间四分预检分诊法在妇幼保健院发热门诊中的应用效果及体会。方法从2020年1月16日开始,妇幼保健院急诊科根据患者有无新型冠状病毒肺炎的临床症状、有无流行病学史自行设计四分预检分诊法,建立发热门诊三级预检分诊制度,快速分流门急诊患者,并规范发热门诊各区域人员的配置和防护着装。结果截至2020年2月27日,急诊护士运用四分预检分诊法分诊门急诊患者及家属6 000余人次,31例收入发热门诊隔离留观室排除新型冠状病毒肺炎疑似感染,确诊疑似并转入新型冠状病毒肺炎患者定点医院1例,全院医护人员和院内患者零感染。结论四分预检分诊法简单快捷,有效分流正常患者和新型冠状病毒肺炎疑似患者,保证了医患双方的安全,避免了院内感染的发生。

Objective To study the application effect and share personal experience of the four-classification previvew and triage method in the fever clinic during coronavirus disease 2019(COVID-19) period in Maternal and Child Health Hospital. Methods Starting January 16 2020,the emergency department of maternal and child health hospital has designed the four-classification method according to the patients with and without the clinic symptoms and epidemiological history of COVID-19,and thus established the three-level previvew and triage of fever clinic to efficiently classify outpatient and emergency patient,and standardized the allocation and protective dress of the regional personnel in the fever clinic. Results By February 27,2020,emergency nurses had triage more than 6 000 outpatients and emergency patients and their families with the four-classification previvew and triage method,31 patients were admitted to the isolated observation area to investigate suspected infection with COVID-19,And 1 patient was diagnosed as highly suspicious and transferred to COVID-19-designated hospital. As a result,a "zero infection" is reported both for the medical staff and inpatients in the whole hospital. Conclusion 4-classification previvew and triage method is simple and rapid,effectively shunt normal patients and COVID-19 suspected patients,ensures the safety of both the staff and patients,avoids the occurrence of hospital infection.