The latest regulations of home health monitoring in National Health Commission
Guidelines for home health monitoring of epidemic situation in COVID-19 1. Applicable targets: employees in high-risk posts who have finished closed-loop operations, discharged (cabin) personnel infected with COVID-19 and other personnel who need home health monitoring after professional evaluation. Second, the site requirements (a) choose to live in a well-ventilated room and try to remain relatively independent. (2) If conditions permit, try to use a separate bathroom and avoid sharing the bathroom with other family members. (three) the room should be equipped with personal protective equipment such as thermometers, paper towels, medical protective masks, disposable gloves, disinfectants, and disinfection products and garbage cans with covers. Third, management requirements (1) community service requirements. 1. register. Street (town) and community (village) staff should strengthen the arrangement and information registration, grasp the information of people returning to the home health monitoring in time, get in touch with the home health monitoring personnel in time, verify the information, inform the relevant requirements of home health monitoring by issuing a home health monitoring notice (see the attached table), and register in accordance with the requirements of "one household for one file" or "one person for one file" and incorporate it into the community grid management. Master the situation of special personnel in home health monitoring, such as elderly people living alone in empty nests, patients with basic diseases, pregnant women, hemodialysis patients, etc., establish a ledger, and do a good job in necessary life support and care services. Streets (towns) and communities (villages) can strengthen the education and guidance of home health monitoring through notification, a letter and WeChat, reminding the community that home health monitoring personnel should take the initiative to get in touch with the community, report in time, and urge them to do a good job of home health monitoring as required. 2. Monitoring information collection. Streets (towns) and communities (villages) can regularly inquire and collect the temperature, symptoms and other information of home health monitors twice a day in the morning and evening by establishing WeChat groups and small programs. If anyone with symptoms such as fever, dry cough, fatigue, sore throat, decreased sense of smell, diarrhea, etc. is found, they should report it immediately, and a special person should contact 12 negative pressure ambulance and be sent to a fever clinic or a designated medical institution for medical treatment according to the principle of proximity. (2) Management requirements for home health monitoring personnel. 1. Health monitoring. Personnel who carry out home health monitoring measure their body temperature once every morning and evening, do a good job in symptom monitoring, and report to the community (village) truthfully. If there are symptoms such as fever, dry cough, fatigue, sore throat, decreased sense of smell, diarrhea, etc., you should immediately inform the community workers and cooperate with them to go to medical institutions for treatment, and truthfully inform the medical staff of their epidemiological history when they see a doctor. 2. restrictions on going out. During the period of home health monitoring, I should strictly implement not going out unless necessary, and do personal protection when going out under special circumstances such as medical treatment, and wear N95/KN95 particulate matter protective mask to avoid taking public transportation. 3. Nucleic acid detection. Home health monitoring personnel should cooperate to complete nucleic acid detection according to the requirements of prevention and control. 4. Health and epidemic prevention requirements. (1) Keep the home ventilated and try to open the doors and windows for ventilation every day. (2) Do a good job in cleaning the home environment, and regularly ventilate and disinfect toilets, bathrooms and other * * * enjoyment areas; Regularly disinfect the surfaces of daily high-frequency contact items such as door handles, mobile phones and switches. (3) Do a good job in hand hygiene, pay attention to cough etiquette, cover your mouth and nose with paper towels when coughing or sneezing, or cover your mouth and nose with the inside of your elbow, throw the used paper towels into the trash can, and wash your hands or disinfect your hands immediately if you contact respiratory secretions. (4) Try not to use daily necessities with other family members, avoid close contact with family members, and advocate separate meals when eating. Fourth, the security requirements (1) organizational security. Streets (towns) and communities (villages) should organize special personnel to be responsible for the management of home health monitoring personnel, clarify their responsibilities, implement the 24-hour duty system, find problems in time and solve problems in time. Establish an information sharing mechanism and regularly report the management of home health monitoring personnel. (2) material security. The community should reserve enough protective materials (including masks, medical gloves, medical protective clothing, etc.), nucleic acid testing and sampling materials and disinfection materials. (3) Psychological assistance and social work services. Inform home health monitoring personnel of the telephone number of psychological assistance hotline, provide psychological support, psychological counseling and other services, alleviate negative emotions, prevent and alleviate psychological distress caused by the epidemic, and prevent extreme events caused by psychological pressure. When mental health problems are found in home health monitors, they will be referred to their counterparts' mental health medical institutions in time. Schedule Home Health Monitoring Notice