Nanjing ＂small clinic＂ will be closed from now on, and major hospitals will open normally.

　　"All kinds of outpatient departments and clinics in Nanjing will be completely closed from now on!" On the afternoon of February 5th, the No.7 Notice of Nanjing issued by the Joint Prevention and Control Command of Pneumonia Infected by novel coronavirus in Nanjing was screened in the circle of friends.

　　"Comprehensive stop diagnosis? Is the hospital closed? "

　　"What if a chronic patient prescribes medicine?"

　　"What other institutions continue to provide medical services?"

　　……

　　For a time, all kinds of questions exploded in the circle of friends. The reporter asked many institutions to find out-

　　Stop only refers to the clinic, clinic stop.

　　The "Notice" clarifies that in order to fully safeguard the public health and life safety in Nanjing and resolutely and effectively curb the occurrence and spread of the epidemic in medical institutions in Nanjing,All kinds of outpatient departments and clinics in Nanjing (including traditional Chinese medicine and integrated traditional Chinese and western medicine) will be completely closed from now on..

　　Relevant persons from the Nanjing Epidemic Prevention and Control Command explained to reporters.The clinic-stopping institution referred to here refers to a small-scale medical institution independently set up below the first level., such as internal medicine clinic, beauty clinic, Chinese medicine clinic, private clinic, etc.In addition to the departments specified in the notice, other departments in the second and third grade hospitals have normal outpatient services.All community health service centers receive medical treatment normally to ensure medical services.

　　The Notice also requires that the elective diagnosis and treatment projects of related specialties in specialized hospitals and general hospitals in Nanjing, such as stomatology, ophthalmology, otolaryngology, plastic surgery (beauty), are all suspended, only the necessary emergency diagnosis and treatment are reserved, and the prevention and control measures for hospital infection are strictly implemented in accordance with relevant protection requirements. In this regard, the relevant person in charge said that the above-mentioned diagnosis and treatment projects, emergency diagnosis and treatment are normal, such as related cases caused by acute trauma, all have consultation services, and the public need not worry.

　　The reporter inquired about Jiangsu Provincial Hospital of Traditional Chinese Medicine and the Second Affiliated Hospital of Nanjing Medical University. Relevant responsible persons said that large-scale general hospitals and medical institutions have not stopped, and hospitals are also strengthening relevant management. "Medical institutions that continue to provide medical services will strictly control hospitalization and surgery, suspend non-urgent surgery and examination, and minimize non-essential hospitalization."

　　According to the person in charge of the relevant departments of jiangsu province hospital and Nanjing Children’s Hospital, they did receive this notice, and stopped some departments with cross-infection risk, but not all departments, and the emergency department was open at any time. The purpose is to reduce the unnecessary flow of people to the hospital and minimize the risk of novel coronavirus infection.

　　Previously, Jiangsu Provincial Hospital of Traditional Chinese Medicine had issued the "Instructions for Patients to See a Doctor". It is mentioned that in order to strengthen the prevention and control of pneumonia in novel coronavirus, effectively reduce the gathering of people, block the spread of the epidemic, and better protect people’s life safety and health, from February 3 to 9, the stomatology and convenience clinics of the hospital were suspended, and some inspection items, such as digestive endoscopy, which may expose patients to respiratory secretions, were suspended. In addition, all outpatient visits are made by appointment, and patients can go to the hospital 20 minutes in advance according to the appointment time to minimize the stay in the hospital.

　　Chronic patients can prescribe drugs for two months at a time.

　　"In the past, chronic patients such as heart disease and hypertension,You can only prescribe medicine for two weeks at a time, but now you can open it for two months at a time."Relevant departments in jiangsu province hospital are responsible for explaining that for patients with chronic non-communicable diseases, the maximum dosage prescribed by the hospital has increased from the past two weeks to two months. "But you still have to come to the hospital when it comes to blood drawing, filming, CT and other examinations."

　　The person in charge also explained that,At present, most tertiary hospitals have opened online Internet clinics. For example, patients with chronic non-communicable diseases, such as hypertension, diabetes and coronary heart disease, can directly consult, register and see a doctor online.Instead of going to the hospital, just go directly to the pharmacy to get the medicine with the prescription.

　　Internet hospitals in Nanjing have started the fever clinic service in internet plus as soon as possible. All medical institutions will strengthen the publicity of disease prevention knowledge through internet plus, website, WeChat WeChat official account, APP, etc., scientifically standardize and guide individuals in reasonable protection and medical treatment, and meet the consultation needs of the masses.

　　In order to minimize the risk of cross-infection, the reporter learned that in recent days, Jiangsu Provincial Hospital of Traditional Chinese Medicine has done a good job in prevention and control in accordance with national standards, and at the same time, it has opened a cloud clinic in Internet hospitals, and increased the number of patients returning to the outpatient clinic. You can also see famous doctors online.

　　According to Chang Cheng, director of the Health Industry Office of Jiangsu Provincial Hospital of Traditional Chinese Medicine, in order to cope with the epidemic and facilitate the majority of patients to seek medical advice, since February 1, the hospital has increased its cloud outpatient service, and arranged 40 famous medical experts to sit online every day, involving clinical departments. At the same time, the number of sources is increased. Considering the heavy daily diagnosis and treatment work, experts usually have no more than 10 patients for online diagnosis and consultation, and the number will increase to 20 during the epidemic. Some experts even open 40 sources to meet the needs of patients.

　　Continue to provide medical services need to pay attention to these.

　　Unified management of entrances and exits, all people must wear masks and take temperature tests, strictly control the number of visitors and visiting time, and in principle, patients with mild illness are not allowed to visit … The Notice puts forward prevention and control requirements for medical institutions that continue to provide medical services.

　　In addition, medical institutions that continue to provide diagnosis and treatment services are required to standardize the setting of fever clinics and pre-examination triage, and strictly implement the core medical system and diagnosis and treatment norms. All medical institutions should conduct a comprehensive investigation of hospitalized patients every day, especially patients with unexplained pneumonia and patients with unknown fever.

　　How do medical institutions that continue to provide medical services do a good job of self-protection for medical personnel?

　　The "Notice" clarifies that standardized isolation and protection measures will be taken; It is necessary to conduct a comprehensive and detailed epidemiological investigation of the staff in the hospital, measure the temperature of all the staff on the job every day, and make a good registration; The staff canteen cancels the dining room and implements the dining system; Further strengthen the prevention and control of infection in non-medical public areas (such as registration windows, charging windows, in-hospital shops, etc.) in hospitals, and do a good job in the management and disposal of medical waste, especially the "pneumonia infected in novel coronavirus" medical waste, so as to minimize the risk of nosocomial infection.

　　Meeting point reporter Zhong Chongshan Wang Tian Ye Zhen Qiu Hui Dong Yan Fang

　　On strengthening novel coronavirus infection in medical institutions

　　Notice on prevention and control of pneumonia epidemic situation

　　(No.7)

　　In order to fully safeguard the health and life safety of the public in Nanjing, and resolutely and effectively curb the occurrence and spread of the epidemic in medical institutions in Nanjing, according to the provisions of the Law on the Prevention and Control of Infectious Diseases in People’s Republic of China (PRC), the Emergency Response Law in People’s Republic of China (PRC), the Emergency Regulations on Public Health Emergencies in the State Council and other relevant requirements of the first-level response to major public health emergencies in Jiangsu Province, the relevant matters concerning strengthening the prevention and control of novel coronavirus-infected pneumonia in medical institutions in Nanjing are hereby notified as follows:

　　First, all kinds of outpatient departments and clinics in Nanjing (including traditional Chinese medicine and integrated traditional Chinese and western medicine) will be completely closed from now on.

　　Second, the elective diagnosis and treatment projects of related specialties in specialized hospitals and general hospitals such as stomatology, ophthalmology, otorhinolaryngology and plastic surgery in Nanjing are all suspended, only the necessary emergency diagnosis and treatment are reserved, and the prevention and control measures for hospital infection are strictly implemented in accordance with relevant protection requirements.

　　Third, medical institutions that continue to provide diagnosis and treatment services in Nanjing should strictly control hospitalization and surgery, suspend elective surgery and examination, and minimize unnecessary hospitalization.

　　Four, the medical institutions involved in the above quickly notify the patients who have made an appointment to suspend medical treatment, and make relevant explanations.

　　Five, medical institutions that continue to provide medical services should conduct unified management of entrances and exits, and strengthen the management and guidance of patients and their families. All personnel entering medical institutions must wear masks, have their body temperature tested, and abide by the relevant procedures of medical institutions after entering the hospital area. It is necessary to strictly control the number of visitors and the visiting time. In principle, visitors are not allowed for patients with mild illness and acceptable self-care ability. It is necessary to standardize the setting of fever clinics and pre-examination triage, and strictly implement the core medical system and diagnosis and treatment norms. All medical institutions should conduct a comprehensive investigation of hospitalized patients every day, especially patients with unexplained pneumonia and patients with unknown fever.

　　Six, medical institutions that continue to provide medical services should do a good job of self-protection of medical personnel and take standardized isolation and protection measures; It is necessary to conduct a comprehensive and detailed epidemiological investigation of the staff in the hospital, measure the temperature of all the staff on the job every day, and make a good registration; The staff canteen cancels the dining room and implements the dining system; Further strengthen the prevention and control of infection in non-medical public areas (such as registration windows, charging windows, in-hospital shops, etc.) in hospitals, and do a good job in the management and disposal of medical waste, especially the "pneumonia infected in novel coronavirus" medical waste, so as to minimize the risk of nosocomial infection.

　　Seven, continue to provide medical services of medical institutions should improve the hospital infection emergency plan, and carry out drills, do a good job of daily monitoring and reporting.

　　Eight, vigorously carry out internet plus fever clinic service. Internet hospitals in Nanjing should comprehensively carry out internet plus fever clinic service as soon as possible. Encourage all medical institutions to strengthen the publicity of disease prevention knowledge through internet plus, website, WeChat WeChat official account, APP, etc., scientifically standardize and guide individuals in reasonable protection and medical treatment, and meet the consultation needs of the masses.

　　Nine, medical institutions and related departments involved in the suspension of diagnosis and treatment services will be notified separately according to the development of epidemic prevention and control.

　　Infected by novel coronavirus in Nanjing.

　　Pneumonia joint prevention and control work headquarters

　　February 4, 2020