1. Applicable objects
Asymptomatic or mild infected people without serious underlying diseases.
The basic disease is in a stable period, and there are no infected people who need hospitalization due to serious organ dysfunction such as heart, liver, lung, kidney and brain.
second, the requirements of home environment
if conditions permit, home therapists should live in relatively independent rooms of the family and use separate bathrooms as much as possible.
Families should be equipped with personal protective equipment such as thermometers, paper towels, masks, disposable gloves, disinfectants, disinfection products and garbage cans with lids.
III. Management requirements
Work requirements of community and primary medical and health institutions.
1. establish contact. Play an important role in the organization, mobilization, guidance, service, security and management of the community work mechanism for epidemic prevention and control in various places. Grassroots medical and health institutions openly consult the telephone to inform the matters needing attention in home treatment, and bring home treatment personnel into grid management. For elderly people living alone in empty nests, patients with basic diseases, pregnant women, hemodialysis patients and other special personnel in home treatment, establish a ledger to ensure the necessary medical services.
2. Give guidance. Home-based therapists carry out antigen testing according to the specifications, and can ask primary medical and health institutions to give guidance when necessary. Grassroots medical and health institutions give necessary symptomatic treatment and oral medication guidance to those in need.
3. Assist in seeking medical treatment. Community or grass-roots medical and health institutions should know their main conditions in time after receiving the demand from home therapists for assistance in arranging medical treatment. Grass-roots medical and health institutions should guide critically ill patients to do emergency treatment and help them to be transported to relevant hospitals in a closed loop as soon as possible. It is necessary to establish a fast transfer channel between higher-level hospitals and urban and rural communities in counties.
4. Psychological assistance. Establish a smooth psychological counseling hotline with cities as the unit. Grassroots medical and health institutions and communities should take the initiative to inform home therapists of the psychological hotline, so as to facilitate them to seek psychological support and psychological counseling. For those who find serious psychological or mental health problems, they can report to the local mental health medical institutions and refer them if necessary.
5. Personal protection. When in contact with home therapists, you should do a good job of self-protection and keep a distance of more than 1 meter as far as possible.
self-management requirements of home therapists.
1. Health monitoring and symptomatic treatment. Home-based therapists should take temperature measurement and self-health monitoring once every morning and evening. If there are symptoms such as fever and cough, they can take symptomatic treatment or oral medication. When necessary, you can also contact the medical staff of primary health care institutions or consult relevant medical institutions through Internet medical forms. Asymptomatic people don't need medication. When taking medicine, home therapists should take it according to the drug instructions to avoid blind use of antibacterial drugs. If you have a basic disease, there is no need to change the dosage of the basic disease treatment drugs being used when the condition is stable.
2. Referral treatment. In case of the following situations, you can transfer to the relevant hospital for treatment by self-driving or 12 ambulance.
dyspnea or shortness of breath.
After drug treatment, the body temperature remained higher than 38.5℃ for more than 3 days.
The original underlying diseases are obviously aggravated and uncontrollable.
Children suffer from drowsiness, persistent refusal to eat, feeding difficulties, persistent diarrhea or vomiting.
pregnant women have symptoms such as headache, dizziness, palpitation, breath holding, or abdominal pain, vaginal bleeding or bleeding, abnormal fetal movement, etc.
3. control going out. Home therapists don't have to go out or accept visits. For those who really need to go out because of medical treatment, they should do personal protection all the time, arrive at the medical institution point by point, and then return home point by point after medical treatment, and try not to take public transportation as much as possible.
4. Personal protection. Home therapists should be well protected and try not to contact with other family members. If the home therapist is a lactating mother, she can continue to breastfeed her baby on the basis of personal protection.
5. antigen self-test. Home therapists need to conduct antigen self-test and report the results according to the relevant epidemic prevention requirements.
6. Infection prevention and control requirements.
Open doors and windows regularly every day to keep indoor air circulation. If natural ventilation is not available, mechanical ventilation can be carried out by exhaust fans.
do a good job in ventilation and disinfection of toilets, bathrooms and other * * * enjoyment areas.
you should wash your hands or disinfect your hands when preparing food, defecating before and after meals, and wearing masks.
When coughing or sneezing, cover your mouth and nose with paper towels or cover your mouth and nose with the inside of your elbow, and throw the used paper towels into the trash can.
Do not use daily necessities with other family members. Tableware should be cleaned and disinfected after use.
The surfaces of articles that may be contacted by home therapists and the towels, clothes and quilts they use should be cleaned and disinfected in time, and the personal belongings of infected persons should be placed separately.
If the family uses the bathroom, the family therapists should disinfect the bathroom every time they use it; If family therapists use a separate bathroom, they can be disinfected once a day.
used paper towels, masks, disposable gloves and other household garbage are put into plastic bags and placed in special garbage bins.
articles contaminated by saliva, sputum, etc. should be disinfected at any time.
IV. Conditions for ending home-based treatment
If the symptoms of home-based therapists are obviously improved or have no obvious symptoms, the self-test antigen is negative and the Ct value of Covid-19 nucleic acid detection for two consecutive times is ≥35, home-based treatment can be ended, and normal life and going out can be resumed.
V. Guarantee requirements
The lead units in charge of community work in the leading mechanisms of epidemic prevention and control in various places should give full play to their roles and earnestly take responsibility. Grassroots medical and health institutions shall establish a 24-hour duty system, and designate special personnel to undertake the health consultation work of home treatment for infected people. The community will arrange for nucleic acid detection, garbage removal and environmental disinfection, and find and solve problems in time.
medical institutions should be organized to provide rehabilitation guidance and psychological support for home-based personnel through online and offline methods such as remote guidance and Internet medical treatment. Primary medical and health institutions should strengthen inspection guidance and health monitoring for home-based rehabilitation personnel in their jurisdictions through the Internet and other ways. Secondary and tertiary hospitals should provide consultation guidance for primary medical institutions through telemedicine.
all localities should strengthen the reserves of commonly used drugs, antigen detection reagents and finger-clip oximeters in primary medical and health institutions, so as to effectively meet the needs of home-based therapists for drug use and health monitoring.
medical institutions should strictly implement the responsibility system of first consultation and emergency rescue system, and should not shirk or refuse to treat Covid-19 infected people at home, especially emergency patients, to see a doctor in medical institutions for any reason.
attachment: 1. reference table of commonly used drugs for home treatment of infected people in Covid-19
2. antigen detection guide for home treatment of infected people in Covid-19
attachment 1. reference table of commonly used drugs for home treatment of infected people in Covid-19
attachment 2. antigen detection guide for home treatment of infected people in Covid-19
1. home treatment personnel can purchase antigen detection reagents through drug network sales e-commerce, or through primary health care in their communities or jurisdictions.
2. Community and grass-roots medical and health institutions should provide convenience for home therapists in need, especially the elderly, to obtain antigen detection reagents.
2. Detection and interpretation of results
1. Home-based therapists can conduct detection and interpretation of results by themselves according to the instructions and procedures, or they can contact primary health care institutions to contract medical staff to complete detection and interpretation of results under their remote guidance.
2. When necessary, the staff of the old-age care institution shall conduct antigen testing and result interpretation for the elderly in the old-age care institution according to the requirements and procedures in the manual.