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COVID-19 Protection Guidance in Chinese Comprehensive Hospital
Transcript of COVID-19 Protection Guidance in Chinese Comprehensive Hospital
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COVID-19 Protection Guidance in
Chinese Comprehensive Hospital
--Experience from BeiJing Chao-Yang Hospital
Dr. Liu Yong-Zhe
Infectious Diseases and Clinical Microbiology
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Outline
• I. Suspected COVID-19 contaminated area in
comprehensive Hospital
• II. Healthcare workers putting on and
removing PPE procedure in fever clinic and
quarantine wards (video)
• III. Patients protective measures in
hospital
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Brief Introduction
• Comprehensive Hospital with 1500 beds, 3 million patients per year
• No 3. Teaching Hospital of Capital Medical University
• Top 5 in Respiratory and Critical Care Medicine
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Fever Clinic Function
• Seasonal and Epidemic infectious diseases (respiratory tract and
diarrhea)surveillance and treatment;
• Bacteria resistance surveillance and Unknown Pathogen detection
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Seasonal Flu in 2018-2019
• Influenza like illness (ILI) 50,000 cases per year in fever clinic
• Shortness:Crowd, limited distance,
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• I. Suspected COVID-19 contaminated area in
comprehensive Hospital
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Zones Setup in COVID-19 peroid
• Red Zone:Dangerous!Fever clinic、Quarantine
wards,
• Yellow Zone : Transitional!Emergency Room、
Operation waiting room,
• Green Zone :Safe! Internal、Surgery、
Gynecology、Pediatrics、Ophthalmology、
Stomaology、Dermatology and Others
department
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Protective Level in red zone
Protective level (PL)-3 PL-2 PL-1
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Red Zone
Fever Clinic
Mobile CTCabin
QuarantineZone
ID ward ICU
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Fever Clinic
• Two routes separately
for patients and
healthcare workers
(green and red)
• Entrance and Exit
• Reception, Consulting
room, Nurse Station,
Blood test Lab,
Pharmacy
Entrance
Exit
Entrance
Exit
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Entrance and Exit
1
2
Exit
1. Contaminated Protective suits;
2. Waste mask and cap
Entrance
Healthcare workers with PPE enter
the door (semi-contaminated)
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Stay –at- Home
Quarantine zone
Reception Consulting room Payment
Consulting room
prescripiton
CT scan Blood and swab
Sample collection
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Protection in treatment and resuscitation
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Medical protection in sample management
Swab sample storage sample transfer sample receiver in BSL-2 lab
Coronavirus RT-PCR Blood tests Isolated CT cabin
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• II. Healthcare workers putting on and
removing PPE procedure in fever clinic and
quarantine wards
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II. Putting on and remove PPE procedure (video)
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Sample Collection
nasopharygeal swab Flu antigen rapid test sample tube
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Pharyngeal swab
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• III. Patients protective measures in
hospital
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COVID-19 suspected cases criteria
• January 2020, patients from WuHan City with
• Fever、respiratory sypmtoms(cough、pharyngalgia、
shortness of breath)or cluster pneumonia;
• February- Early March, patients from COVID-19
epidemic provinces or reported regional outbreak;
• Late March up-to-date,patients from COVID-19
epidemic country or overseas traveller with fever or
respiratory sypmtoms
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• Personal Protection: Mask, gloves (optional)
• Distance: One patient in a consulting room
• Order: keep safety distance and wait in order
• Self-service: obtain examination information
byself
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ReceptionStation
Consulting room
Consulting room
Consulting room
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Self-service Procedure
App
Chest CT
Vital Signs
Printer
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Patients protection
Patients’route special for fever clinic
Spray pot forSterillization
Security keep the Order
Social workerguide the CT
scan
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