在新型冠状病毒肺炎防控中市级三甲医院门急诊管理经验的探讨

Discussion on the experience of outpatient and emergency management of prefecture tertiary hospitals in the prevention and control of COVID-19

目的探讨加强门急诊管理在地市级三甲综合医院对新型冠状病毒肺炎(COVID-19)防控中的作用。方法在我院门诊入口处设立三通道分诊,同时于急诊大厅分诊台补充分诊,分诊工作人员将筛查出的发热患者直接领送至发热门诊就诊;急诊科采用水银体温计复测就诊患者体温,严格执行急诊分诊,严明急诊流程,对收住患者严格把关;最后,不断加强培训学习,各区域按标准做好消毒和人员防护。结果门急诊发热和/或呼吸道症状患者未出现漏检漏诊现象。预检分诊、发热门诊、急诊科医护人员未出现院内交叉感染情况。结论加强门诊预检分诊和实施急诊患者第二站式分诊,保证阻击疫情中各项管控措施落实到位,能有效避免院内交叉感染的发生。

Objective To explore the role of strengthening outpatient and emergency management in the prevention and control of COVID-19 in prefecture tertiary general hospitals.Methods A three-channel triage was set up at the outpatient entrance of our hospital.At the same time,the triage was supplemented at the triage table of the emergency lobby.The triage staff directly sent the fever patients that were screened to the hot clinic for treatment.The temperature of the patients were retested by a mercury thermometer during the visit,strict implementation of emergency triage,strict clarification of emergency procedures,strict control of the admission of patients.Finally,through stengthen training,achieved disinfection and personnel protection in accordance with standards in various areas.Results Patients with fever and/or respiratory symptoms in outpatient and emergency department did not miss the diagnosis.There was no nosocomial cross-infection among the medical staff of pre-check triage,fever and emergency department.Conclusion Strengthening the prescreening and triage of outpatient and implementing the second station triage of emergency patients can ensure that all control measures in the prevention and control of the epidemic are in place and effectively avoid the occurrence of cross infection in the hospital.