2.1 Manage Personnel Access to the Ward
All people entering the ward, including medical staff, rear service
personnel, patients and their family members were included in this
epidemiological investigation. Passively screen all people for symptoms
of acute respiratory illness before entering the healthcare facility
every day and the results would be reported to the hospital protection
department, which would be reviewed again by managers. Focus
areas(especially areas in Hubei Province, ) were identified as areas
with most potential risk of exposure to Coronavirus Disease 2019
(COVID-19) throughout the country. All patients and their family members
from those areas were investigated and archived according to a new
registration system. And only those without fever, respiratory symptoms
or abnormal chest CT could be admitted to hospital.
Caregivers and visitors were restricted to reduce the flow and density
of population and a fixed caregiver was allowed in our ward. Another
substitutive caregivers if needed should be screened prior to entry to
the unit, including epidemiological investigation, body temperature, and
chest CT before admission. At the same time, the body temperature was
monitored twice a day for the duration of their stay. The number of
nurses and physician present during treatment were limited to only those
essential for patient care and support. Establish visitor policy for
monitoring and managing visitors. Limit visitors to our ward to only
those essential for the patient’s physical or emotional well-being and
those with a temporary one-time pass issued by the head nurse, but if
fever or COVID-19 symptoms were present, the visitor would not be
allowed entry into the ward . All visitors must wear a facemask at
limited visitation hours while in our ward and perform frequent hand
hygiene. Visitors could enter and go out of the ward along the
designated route during the specified period of time. Individual
training program for all visitors on hand hygiene and appropriate PPE
use before entering our ward was developed.
As part of routine practice, healthcare personnel were be asked to
regularly monitor themselves for fever and symptoms of COVID-19, and
only those without fever and symptoms of
COVID-19 could remain to work.
Flexible shift of On-the-job personnel were implemented to ensure the
normal work.