Number

Problem list

Rectification list

Responsibility list

Problem- solving list

1

How to find fever patients for the first time?

Set up temperature monitoring points at each entrance of the hospital.

Outpatient office, Nursing department, Security department

Solved

2

How to avoid forgetting to ask about epidemiological history?

Add an epidemiological history to the outpatient and inpatient electronic system. If you do not complete it, you cannot proceed to the next step.

Medical department, Outpatient office

Solved

3

How to monitor the symptoms and temperature of family members and caregivers of inpatients?

Guide proactive health notifications and take temperature measurements twice in the morning and evening.

Nursing department

Solved

4

Isolation/observation room is not enough; how to isolate patients in the first place?

Reconstruction of two general medical wards into isolated observation wards.

Medical department, Nursing department, Department of infection control

Solved

5

What to do for patients with symptoms from the epidemic area for more than 14 days of medical observation period?

A special consultation room is set up in the emergency area. And a specialist is required to come over for treatment.

Medical department, Emergency department

Solved

6

How to deal with fever patients in whom the possibility of infectious diseases has been eliminated?

A special consultation room is set up in the emergency area. A specialist is required for the treatment.

Medical department, Emergency department

Solved

7

How can medical staff strengthen their protection?

Develop a graded protective plan, set up a nosocomial infection protection supervision posts to supervise the implementation of protective measures.

Department of Infection control,

Medical department, Nursing department

Solved

8

How to arrange a route for a suspected patient?

Find the route of least crowd contact. Set up a dedicated elevator, and establish a procedure of examinations outside the clinic and hospitalizations for fever outpatients; procedures of the transfer and inspection for patients in isolation and observation; procedure of fever patients to fever clinic. More than a dozen medical procedures in total.

Medical department, Department of infection control, Nursing department, Logistics support department, Outpatient office

Solved

9

How to strengthen daily disinfection?

The environmental cleaning and disinfection SOP during the COVID-19 was formulated. All original clean level areas were updated to disinfection level.

Department of infection control,

Logistics support department

Keep

improving

10

How to perform terminal disinfection in patients with COVID-19?

First use Endipen (compound quaternary ammonium salt spray) to disinfect the surface of environment and then perform conventional terminal disinfection.

Department of Infection control, Logistics Support department, Nursing department

Solved

11

How to treat medical waste in patients with COVID-19?

Double-layer medical garbage bag, 3/4 full, sealed with gooseneck knot, and put another medical garbage bag before taking out the contaminated area.

Department of infection control,

Logistics support department

Solved

12

How to deal with medical fabrics used by patients with COVID-19?

Seal into soluble storage bag and transport to an outsourced washing company for processing.

Department of infection control, Logistics support department,

Solved

13

What about emergency surgery?

Develop an emergency surgical treatment procedure, screen for novel coronavirus nucleic acid before surgery, and perform surgery in negative pressure surgery for patients with unknown infection of COVID-19. Surgery for patients with a limited period of time should be performed after twice negative novel crown nucleic acid test (more than 24 h between two times).

Medical department, Department of infection control

Solved

14

How can employees resume work safely?

The returnees from the affected area should not go to work before 14 days of isolation at home.

Human resources department, Preventive health division

Solved

15

How to strengthen training?

Full-staff training through various online and offline ways.

Department of infection control, Medical department, Nursing department, Logistics Support department.

Keep improving

16

How to ensure that measures are put in place?

Establish nosocomial infection supervision posts and implement two-level management of hospitals and departments.

Department of infection control, Medical department, Nursing department, Logistics support department.

Keep improving