Wuhan completed the flow adjustment when opening the online registration of ＂appointment mode＂ for medical treatment.
Anti-epidemic experience makes citizens accustomed to mobile phone registration and isolated escort.
Wuhan opens the "appointment mode" for medical treatment
In the post-epidemic era, these tips have been added to the outpatient halls of hospitals in Wuhan. Changjiang Daily reporter Tian Qiaoping photo
The prevention and control of epidemic situation in COVID-19 has entered a normal state. The need of preventing and controlling epidemic situation in hospitals and more than three months’ anti-epidemic experience have changed Wuhan people’s medical habits and ways: isolated escort, patients staying for several days, and escorts staying for several days; The registration window is not registered, and the mobile phone computer is hung at any time; Go to the hospital according to the appointment time, without waiting for a long time; Scan the code before you can enter the clinic. After a temporary passage, your temperature will be measured … …
Make an appointment to register and see a doctor by time.
The crowding of the past is gone.
When he got home from work on June 29th, Mr Qi found a rash on his 3-year-old son’s thigh. At 9: 50 pm, he hung up the ordinary number of dermatology department from 8: 00 to 9: 00 the next day on the WeChat WeChat official account of Wuhan Children’s Hospital. At 7: 56 the next morning, I parked my car in the hospital parking lot. Mr. Qi signed it on his mobile phone and took the elevator to the dermatology department on the fifth floor of the outpatient clinic. At 8: 16, the doctor finished seeing the child.
According to an interview with Changjiang Daily reporter, at present, some hospitals take 1 hour as a time period, some take half an hour, and more precisely, 15 minutes. According to the scheduled time period, some report to the hospital half an hour in advance and some take 15 minutes in advance.
Before the outbreak, the health administrative department of Hubei Province stressed the need to implement online appointment, and asked hospitals to achieve the goal of putting 85% of the source online. "Now 100% of our numbers are online." Li Gang, director of the outpatient department of tongji hospital, said that with the strengthening of the prevention and control of epidemic normalization and nosocomial infection, the hospital paid more attention to it, and hoped that the crowd in the hospital would not be too concentrated.
Wuhan is in the rainy season, with high temperature and humidity, which is a period of high incidence of skin diseases. At this time, the dermatology department of Wuhan First Hospital was crowded. On the afternoon of June 29, the reporter saw here that people who had finished seeing the doctor kept coming out of the consultation area, and the past congestion disappeared. Every 15 minutes, a group of patients with appointment time will be put into the waiting area, and the patients will sit around in the huge waiting area.
Isolated escort
Ward order is better and safer
During the epidemic period, all hospitals in Wuhan require patients and their accompanying families to do COVID-19 nucleic acid test, serological antibody and chest CT before hospitalization. All negative results can be used for hospitalization. After being admitted to the hospital, the patient and the accompanying staff were asked not to leave the ward.
57-year-old Ms. Tao and her daughter Xiao Chang have just returned home from the department of nail and breast surgery of Union Medical College Hospital. The mother and daughter lived together in the hospital for 7 days, with their daughter undergoing thyroid surgery and their mother accompanying them.
"The experience of this hospitalization is completely different from my own hospitalization in 2015, because I am not allowed to visit and limit the number of accompanying people. The ward is quiet all day, which is more conducive to my daughter’s rest after surgery." My daughter lives in a three-person ward, and a surgical patient can only be accompanied by one person. There are six people in the ward. Ms. Tao remembers that when she was doing gynecological surgery in this hospital in 2015, the patient’s family next to the hospital bed came with three escorts. They chatted during the day and slept in the rented recliner at night. The ward was very noisy and crowded.
After the normalization of epidemic prevention and control, the hospitals in the city are still implementing a strict escort system, which is also based on reducing the chances of cross-infection in wards and controlling the risk of infection. According to Chen Hong, the head nurse of the maternity ward of Central South Hospital, the implementation of the ward escort system in the post-epidemic era "makes the hospital more like a hospital".
For a long time, in addition to the maternal husband, there are also experienced seven aunts and eight aunts who give birth to children in the hospital and take care of the "mother and son" in the ward. At present, only one person can accompany them, and most women choose their husbands to stay in the ward.
Isolated escort not only reduces the number of caregivers in the ward, but also purifies the ingredients. Due to the strict entry and exit system in the ward, people who used to send leaflets, recommend products and petty theft in the ward could not get in at all, and the ward was more orderly and safer.
Complete streaming when registering online.
Layers of pre-triage separate infectious diseases from common diseases.
Do the patient and his entourage have symptoms of fever, cough and fatigue? Have patients and their accompanying staff been in close contact with patients with fever or respiratory symptoms in areas with serious epidemic situation abroad or in communities with reported cases in China within 2 weeks? Are patients and their accompanying staff in close contact with patients who have been diagnosed or suspected in COVID-19 within 2 weeks? When you open the WeChat WeChat official account registration in Wuhan Children’s Hospital, the first thing that pops up is such a screening. The operation is extremely simple, just tick after yes or no.
Hua Yun, director of the outpatient department of Wuhan Children’s Hospital, said that this is the COVID-19 epidemiological survey option that the hospital added to the registration system after the normal diagnosis and treatment. Only when these three items are "No" can you enter the registration interface. By filling in this option, the patient screens himself first.
On June 16th and 29th, the reporter visited the outpatient department of Wuhan University People’s Hospital twice. When patients come here to see a doctor, they need to be triaged three times. For the first time, I went to the temporary shed outside the clinic to take my temperature, and I received a temporary medical treatment form with the number I got online, and waited here according to the subject. At the time of seeing a doctor, when the patient enters the outpatient hall, he should also take his temperature and show his health code; The third time, the patient went to the waiting room of various departments, and also needed to take his temperature and show his health code. Once a fever patient is found, someone will guide him to the fever clinic. Three times of pre-triage can not only find out the patients with fever, but also effectively divert the patients.
In the past few days, the reporter visited tongji hospital, Zhongnan Hospital of Wuhan University, People’s Hospital of Wuhan University, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan First Hospital, Wuhan Fourth Hospital and Wuhan Children’s Hospital, and saw that all hospitals had moved the pre-triage gate originally located in the hall to the outside of the hospital gate.
Before seeing a doctor face to face, take your temperature and show your health code at least twice. Before hospitalization, patients and their families need to take chest CT, take throat swab and draw blood. Do Wuhan people accept the increased medical procedures due to the epidemic?
The reporter asked 20 patients and their families in the outpatient and inpatient departments of the above hospitals. Most of them said that they could understand and adapt. "As long as they can deal with COVID-19, the trouble doesn’t matter!" Liu Jun, a 66-year-old critically ill patient, told reporters. The interviewed clinic directors and head nurses all expressed the hope that some good practices born during the normalization of anti-epidemic can become routine practices.
(Changjiang Daily reporter Tian Qiaoping correspondent Chen Wang Yu Wei Gao Xing)