key: cord-0999828-ocgxpahj
authors: Chen, Huang‐Chi; Chang, Ko; Chen, Szu‐Chia
title: Infection control strategies of medical institutions in response to COVID‐19
date: 2020-06-12
journal: Kaohsiung J Med Sci
DOI: 10.1002/kjm2.12244
sha: 3aa25ab4a55fc303c2fd86366dbd84118b2034c9
doc_id: 999828
cord_uid: ocgxpahj

nan

The government of Taiwan has taken a proactive approach in responding to the COVID-19 pandemic, with only 393 confirmed cases and 6 deaths so far, most of which have been people returning from overseas. 1, 2 Here, we would like to share the experience of our contingency team of Kaohsiung Municipal Siaogang Hospital which we hope will be useful for other medical institutions.

We implemented the government's epidemic prevention policy, including tracking travel history through National Health Insurance cards and mask rationing into the hospital access control system. This was achieved through patient education by using graphic design (posters), dynamic images (video), social media (Facebook, Line, YouTube), the hospital's official website, hospital halls, elevators, and other places ( Figure 1 ). The information is updated daily in real time, to prompt the public and staff to comply with the latest epidemic prevention measures in the hospital, and remind them of the importance of implementing personal health management and protection.

1.2 | All wards monitor people accompanying the patients: Wearing masks/temperature measurement/ hand washing/travel, occupation, contact and cluster history 1. Masks.

3. Travel, occupation, contact and cluster (TOCC).

(1) Implementation method: a. After admission, the nurse in charge will investigate the TOCC of the patient and those accompanying the patient and record the data.

b. When the people accompanying the patient change, the nurse on duty will assist in re-establishing the TOCC. 

The care attendant can complete the education training by using the website (https://youtu.be/lg77s3iZDXE) or by QR code. The care attendant can also review the class repeatedly to increase familiarity.

The training focuses on:

(1) Recognize and understand the symptoms of severe special infectious pneumonia.

(2) Recognize and understand notice and cooperation policies for home quarantine and home isolation for potential cases of serious special infectious pneumonia.

(3) Recognize and understand the correct method and timing of hand washing.

(4) Recognize and understand the correct method and timing of wearing masks.

(1) The details of each care attendant will be registered. Their TOCC information will be recorded in the system so that it can be tracked in order to provide a reference for the Health Bureau for future epidemic investigations.

(2) In order to understand the effectiveness of the education and training program for the care attendants, the nursing station randomly checks the correctness of wearing masks and washing hands of three people every day. If anyone fails the assessment, nursing staff will teach him or her until the procedure is correctly being performed.

(3) Formulate work specifications for caregivers to prevent cross infection, such as: c. If the care attendant has a fever, respiratory symptoms or other physical discomfort, they should temporarily suspend patient service.

d. The care attendant must fill in the "Form of Self-Assessment of Care Literacy," and sign and write the evaluation date on the form for any new care cases.

We hope that our experience will be helpful for other medical institutions.

First case of coronavirus disease 2019 (COVID-19) pneumonia in Taiwan

Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): Facts and myths

The authors declare no potential conflict of interest.