Blog entry by Norwood Norwood
Original Title: New Rules for Wearing Medical Masks! The third edition of
"Guidelines for the Prevention and Control of Novel Coronavirus" is coming
Compared with the previous edition of the guide, what are the differences in the
third edition and what are the main adjustments? On September 13, 2021, the
National Health Commission issued the Technical Guidelines for the Prevention
and Control of New coronavirus Infection in Medical Institutions (the third
edition) (hereinafter referred to as the "Guidelines"), only five months after
the publication of the second edition. The first edition of the guide was
released on January 23, 2020. Compared with the previous edition, the new
edition of the guidelines mainly increased the contents of "medical staff
protection" and "closed-loop management of fever clinics and designated
hospitals". The content structure has not been greatly adjusted, which is
divided into four chapters: "overall requirements", "prevention and control
strategies", "basic requirements" and "technical requirements of key departments
and departments". Since this year, there have been many hospital infection
incidents, requiring hospitals to refine the sensory control program. Since this
year, hospital infection incidents have occurred in many places, which has
sounded the alarm bell for hospital infection control. On January 19, the
official website of the National Health Commission issued a circular on the
inadequate prevention and control of COVID-19 in Gaocheng People's Hospital of
Shijiazhuang City and Xinle Hospital of Traditional Chinese Medicine in Hebei
Province, which included 14 positive cases, including a 70-year-old hospital
nurse who was diagnosed. Problems such as confusion in hospital management,
failure of health departments and local prevention and control command
departments to perform their duties have been exposed, and Hebei Province and
Shijiazhuang City have held relevant personnel accountable. At the end of July,
a large-scale hospital infection broke out in the Sixth People's Hospital of
Zhengzhou, and nearly 150 hospital staff and patients were infected. As a former
"anti-epidemic star" of Henan Infectious Disease Hospital, Ma Shuhuan, Secretary
of the Party Committee of the hospital,KN95
Mask with Fast Shipping, was dismissed after the hospital infection
occurred. The Sixth Hospital of Zhengzhou is still in the period of recovery and
reconstruction, and has not yet been opened. Expand the full text In September,
the epidemic broke out again in Yangzhou, Jiangsu. Then came the epidemic
centered on Putian City and Xiamen City in Fujian Province. Yesterday, the First
Affiliated Hospital of Xiamen University announced that the nucleic acid test
results of a logistics service staff of a third-party company in the hospital
were positive. These incidents are reminding medical institutions to guard
against weak links in the work of sensory control. Especially after the
occurrence of large-scale nosocomial infection in Zhengzhou Sixth Hospital, the
Joint Prevention and Control Group of the State Council issued three documents
on strengthening the sensory control of designated hospitals, improving the
sensory control mechanism of medical institutions, and strengthening the
management of sensory control personnel in medical institutions within a month,
which provided more norms for hospital sensory control work. The contents of
these documents are also reflected in the guidelines released this time. The
guidelines require strict implementation of the requirements of the above
documents,free
shipping disposable coverall, including equipping a team of highly
professional infection control personnel according to the requirements; medical
institutions should formulate detailed training programs for all staff of
infection prevention and control in their institutions, and further strengthen
the awareness that "everyone is a practitioner of infection control". To
strengthen protection, some medical staff masks should be tested for tightness.
"Proper Use of Personal Protective Equipment" is part of the "Essential
Requirements" section of the guide. The content of the old guide is: Medical
institutions should strengthen the management of personnel protection and
reserve protective materials of good quality and sufficient quantity. Medical
staff should correctly and rationally use medical surgical or medical protective
masks, goggles or protective screens, gloves, isolation clothes or protective
suit according to exposure risks and diagnostic and therapeutic operations, so
as to ensure that personal protection of medical staff is in place. At the same
time, they should guide and supervise patients and their accompanying personnel,
as well as other personnel entering medical institutions to do a good job of
personal protection. The latest edition of the guidelines adds a paragraph to
the above content, requiring some medical staff masks to be tested for
tightness: In isolation wards, fever clinics, nucleic acid sampling points,
nucleic acid testing laboratories and other key places, medical staff who are
more likely to come into contact with the novel coronavirus should strengthen
protection and strictly implement the requirements of wearing medical protective
masks. The personnel working in the fever clinic and the isolation ward of the
designated hospital shall be tested for the suitability and tightness of the
medical protective mask, and only those who are qualified shall be allowed to
work; before entering the fever clinic and the isolation ward of the designated
hospital, the tightness of the medical protective mask shall be tested. What
should I do if the mask falls off carelessly in the polluted area? Guidelines
require posting of disposal procedures For the contaminated areas of designated
hospitals and wards for COVID-19 treatment, Virus
Prevention Mask 3 Ply with Earloop ,Full
Body Disposable Coverall, the old version of the guidelines requires that
"the contaminated areas should be equipped with individually packaged personal
protective equipment and occupational exposure emergency disposal boxes for
emergency use", while the new version of the guidelines also requires that "the
disposal procedures after respiratory occupational exposure (see Annex 4) should
be posted in obvious places". Annex 4 reads as follows: Disposal process after
respiratory tract occupational exposure 1. Respiratory exposure Close contact
with patients diagnosed with COVID-19 due to lack of respiratory protective
measures, damage to respiratory protective measures (such as loose masks,
falling off, etc.), use of ineffective respiratory protective measures (such as
use of masks that do not meet the requirements of the specification); contact
with mouth and nose by hands contaminated by COVID-19, etc. II. Disposal Process
(1) When occupational exposure to respiratory tract occurs in a medical staff,
measures shall be taken immediately to protect the respiratory tract (covering
the mask with the hand after the implementation of standardized hand hygiene or
adding a layer of mask urgently, etc.), and the contaminated area shall be
evacuated according to the prescribed procedures. (II) Pass through the
unloading area in an emergency, and unload the protective equipment according to
the requirements of the specifications. (3) Clean and disinfect the oral cavity
or/and nasal cavity with clean water, 0.1% hydrogen peroxide solution and
iodophor according to the situation, and leave after wearing a medical surgical
mask. (4) Timely report to the director of the department concerned, the head
nurse and the competent department of the medical institution. (5) Medical
institutions shall organize experts to conduct risk assessment as soon as
possible, including confirming whether isolation medical observation, preventive
medication and psychological counseling are needed. (VI) Persons with high risk
exposure shall be managed as close contact persons, and shall be isolated for
medical observation for 14 days. (7) Fill in the occupational exposure record
form of COVID-19 medical staff in time, especially the causes of exposure, and
carefully summarize and analyze them to prevent similar incidents. Some fever
clinics also need closed-loop management. The technical requirements for key
departments and departments in the guidelines are independent. These key
departments and departments are: fever clinics, emergency departments,
departments/departments where patients need to remove masks when receiving
diagnosis and treatment measures, hemodialysis centers (rooms), general wards
(rooms), designated hospitals and wards for the treatment of COVID-19 infected
persons, and COVID-19 nucleic acid testing laboratories. Among them, the new
guidelines have greatly increased the contents of the two sections of "fever
clinics" and "designated hospitals and wards for the treatment of novel
coronavirus infected persons". For fever clinics, the new guidelines put forward
more specific requirements for protection: medical staff entering and leaving
fever clinics and observation wards should wear medical protective masks, work
caps, gloves, boots or shoe covers (protective suit do not need to wear boots if
they already have boots), wear isolation gowns or protective suit (observation
wards should wear protective suit), and wear goggles or protective screens
according to the operation of diagnosis and treatment. And part of the fever
clinic staff to strict closed-loop management, this part is: reception entry,
domestic high risk areas and focus on the isolation point of fever patients and
other high-risk groups of fever clinics. All personnel in the isolation ward
travel at two points and one line. In the old version of the guidelines, the
isolation wards of designated hospitals were required to carry out closed-loop
management, while the new version of the guidelines put forward one more point:
"strict implementation". Specifically, during the working period, a single
person will be arranged to live in a single room, and all personnel will travel
between the station and the designated hospital at two points and one line, with
fixed commuting vehicles, and no station will be arranged in the designated
hospital. The new guidelines also specify the scope of "all staff" in the
isolation wards of designated hospitals. Including: medical, management,
security, cleaning, catering, medical waste collection and transportation
personnel and other staff who directly or indirectly contact with COVID-19
infected persons (including medical staff such as imaging examination and
closed-loop management personnel who provide services for COVID-19 infected
persons). In addition, for designated hospitals, the new guidelines also have
several provisions that the old version did not have: in principle, the reserve
should meet the needs of designated hospitals to operate at full capacity for 30
days; fever clinics should immediately transfer new coronavirus infected persons
to designated hospitals; For the management of accompanying and visiting, the
expression of "in principle" has been deleted from the old version of "no
arrangement for visiting and accompanying in principle", that is,KN95 Face Mask, "no arrangement for
visiting and accompanying". Source: Medical think tank Author: Wei Xiaoning
Proofread by Zang Hengjia Editor: Zheng Huaju The medical profession strives for
the accuracy and reliability of its published contents at the time of approval,
but does not make any commitment and guarantee to the timeliness of the
published contents and the accuracy and completeness of the cited information
(if any), nor does it assume any responsibility arising from the fact that such
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