- •With the development of the outbreak, WCH immediately set up a transdepartment emergency infection control team, which was responsible for infection control and protection management of the entire hospital. All the regulatory requirements were implemented actively by the emergency department.
- •Triage strategies were adjusted and optimized. The management process as indicated in the Figure was activated .FigureThree-level pre-examination and triage.
- •The epidemic fever clinic management team was set up. The fever clinic pre-examination process was formulated along with the COVID-19 surveillance report process and disinfection requirements after the disposition of suspected or confirmed patients. Meanwhile the layout and facilities of the fever clinic were adjusted, 4 tents were rapidly set up with emergency medical technicians to expand the space scope of the fever clinic, and an emergency fever rescue room was set up to treat severe fever patients. In addition, the hospital-acquired team of the emergency department conducted a number of related theories and skills training.
- •After the evaluation of the existing human resources and job needs, WCH deployed HCWs in the hospital and the emergency department, combined with the internal region and postdeployment of the department. WCH initiated volunteer service on the entire hospital staff (clinical HCWs, administrative logistics department), who are mainly responsible for entrance and exit management and medical guidance.
- •The management of protective equipment and materials was improved. All protective materials were managed at the 3 levels of hospital, department, and region, and special personnel of the general nurse was responsible for them. Additionally, the general nurse carefully planned and distributed materials according to the requirements of the post's (fever triage, fever clinic, injection room, rescue room, emergency intensive care unit) protection levels.
- •It is key to continue to secure the entrances and exits of the center. To decrease the density of patients and reduce the crowding of the emergency department, we strictly implemented the companionship management system established by our department. Nonemergency patients are strictly prohibited from entering the center, no more than 2 people can be accompanied by emergency patients under special conditions, no accompanying and no visitation in the rescue room and intensive care unit is permitted, and the companionship of observation room patients is strictly controlled to 1 person carrying an accompanying certificate.
References
- Coronavirus disease 2019 (COVID-19) situation report - 44.(Available at:) (Accessed March 6, 2020)
Gorbalenya AE, Baker SC, Baric RS, et al. Severe acute respiratory syndrome-related coronavirus: the species and its viruses-a statement of the Coronavirus study group. Preprint. Posted online February 7, 2020. bioRxiv 937862. https://doi.org/10.1101/2020.02.07.937862. Accessed March 6, 2020.
- The latest situation of the new coronavirus pneumonia epidemic situation as of 14:00 on March 1 (in Chinese).(Available at:) (Accessed March 2, 2020)
- Report on disease control and prevention in China: more than 3,000 medical workers were infected with novel coronavirus (in Chinese).(Available at:) (Accessed March 6, 2020)
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