新型冠状病毒疫情下隔离病区改造和院感防控的实践探索

Practical exploration on reconstruction of isolation ward and hospital infection prevention and control under the epidemic situation of novel coronavirus

目的为集中收治新型冠状病毒肺炎患者,对某医院住院部普通病房实施传染病隔离病房改造,满足院感防控的要求。方法在原科室普通病房构造基础上,对所属区域重新规划,形成清洁区、潜在污染区、污染区,患者通道及医护人员通道的“三区两通道”的新布局。结果将普通病区快速改造为统一标准的隔离病区,并根据功能差异将各区分为清洁区包括生活区和物品库房,更衣室、医生办公室、护士办公室、治疗室;潜在污染区包括穿衣间、第二脱衣间、缓冲间;污染区包括隔离病房、抢救室、污物储存间等,设置双库房,根据需求配备不同物资。在此基础上,配备抢救仪器设备、院感监控设备、空气消毒机、紫外线消毒灯、自动闭门器,并对改造后床单位彻底地消杀,以进一步达到传染病隔离病区设置标准。结论改造后的隔离病房成为了抗击疫情的主战场,可满足新型冠状病毒肺炎救治和康复的双重需求,降低发生院内交叉感染的可能性。

Objective To centralize the treatment of COVID-19 patients,the transformation of infectious disease isolation ward was carried out in the general ward of the inpatient department of a hospital to meet the requirements of hospital infection prevention and control.Methods On the basis of the structure of the general ward of the original department,the area was reconstructed a new layout of“three zones and two channels”of clean area,semi-polluted area,polluted area,patient passage and medical staff channel.Results Generalwards were quickly transformed into unified standard isolation wards,and according to their functional differences,they were divided into clean areas including living areas and storerooms,changing rooms,doctors’offices,nurses’offices and treatment rooms,and semi-polluted areas including dressing rooms,second undressing rooms and buffer rooms.The contaminated areas included isolation wards,rescue rooms,sewage storage rooms,etc.,and double warehouses equipped with different materials according to the requirements.On the basis,rescue equipment,monitoring,air disinfector,ultraviolet disinfection lamp,automatic door closerwere equipped,andthe transformedbed unit was thoroughly sterilized in order to further achieve the infectious disease isolation ward setting standards.Conclusion The transformed isolation ward had become the main battlefield to combat the epidemic situation,which could meet the dual requirements of COVID-19’s treatment and rehabilitation,and ensure the possibility of cross-infection in the hospital.