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.