Screening and testing of suspected cases and collecting treatment for people with COVID-19 in Vietnam from May 17, 2022

On May 17, 2022, the Ministry of Health issued Decision 1226/QD-BYT in 2022 on banning Guidelines for adjusting a number of regulations on screening, threading, testing people suspected of being infected with SARS-CoV-2 and collecting and treating people with COVID-19 in medical examination and treatment establishments. Accordingly, there are specific instructions as follows:

Guidelines on screening and classifying people suspected of being infected with SARS-CoV-2 in hospitals

Pursuant to Clause 1, Article 1 of Decision 1226/QD-BYT in 2022 stipulates as follows:

- Main point of view

In the hospital, people being treated for diseases, if they contract COVID-19, will cause many difficulties for treatment, so it is necessary to organize screening, threading, testing, detecting and treating COVID-19 early. Departments that focus on critically ill and high-risk patients need to minimize the transmission of SARS-CoV-2. Hospital leaders need to well organize screening and early detection of people suspected of being infected with SARS-CoV-2, especially in high-risk departments, and focus on first aid and treatment with priority given to reducing related deaths. COVID-19.

- Rule

+ People with suspected signs of SARS-CoV-2 infection need to be screened and detected early to avoid infection and aggravation of other disease conditions, especially patients in high-risk groups, in the intensive care unit, dialysis (artificial kidney) and postoperative. People who are found to be infected with SARS-CoV-2 should be examined and treated separately from those who are not infected.

+ Based on the general guidance of the Ministry of Health, the hospital actively builds, updates and maintains the process of welcoming, screening, channeling, medical examination, testing, treatment and hospital transfer for people with COVID- 19 in the direction of flexibility, cutting administrative procedures, creating favorable conditions for people to access health services.

+ Based on the scope of expertise, human conditions, facilities, infrastructure, and available structures, the hospital researches and designs a convenient and reasonable process on the principle of minimizing the risk of infection. infection with SARS-CoV-2.

- Screening and threading work

+ Commonly applied to public and private hospitals, with 1 gate, many gates.

+ At the gates that receive patients put signs:

The direction is for people with cough, fever, runny nose, sore throat, chest tightness, shortness of breath, body aches, loss of taste and smell.

+ Signboards can add other content such as other signs, hotline phone numbers... Signboards have lights to see clearly at night.

+ Behind the sign, there should be a signpost leading to the COVID-19 screening area (or to the infectious disease department/unit of the hospital assigned to screen). The screening area has transportation facilities such as stretchers and wheelchairs for patients with symptoms of acute respiratory infection, has a clear cleaning process and disinfects after each use.

+ In case the hospital has characteristics such as large scale, large premises or other specific reasons, the hospital can set up and organize patient screening at the hospital gate or at some departments/centers. the center, the building block of the hospital according to the general principles.

- Take measures to prevent and control the epidemic

+ The hospital has instructions for people entering the hospital to wear masks and disinfect their hands.

+ The measurement of body temperature, keeping the distance is proactively regulated by the hospital and implemented appropriately, based on the conditions of the premises and facilities and the number of people coming to the hospital.

The screening areas ensure ventilation, arrange adequate means of infection control, hand hygiene, bags, bins, vehicles, and implement waste management and environmental sanitation according to regulations.

Screening and testing of suspected cases and collecting treatment for people with COVID-19 in Vietnam from May 17, 2022

Guidelines for testing people suspected of being infected with SARS-CoV-2 in hospitals

Pursuant to Clause 2, Article 1 of Decision 1226/QD-BYT in 2022 stipulates as follows:

- Perform testing for SARS-CoV-2 (by techniques to detect SARS-CoV-2 infection) on cases of people who come to the hospital, inpatients, medical staff if suspected. Suspected to have COVID-19 such as cough, fever, runny nose, sore throat, chest tightness, shortness of breath, body aches, loss of taste, smell and other related abnormalities after examination screening for COVID-19.

- The hospital focuses on risk assessment and detects suspicious signs of COVID-19 to order testing for patients before surgery, patients in high-risk departments such as intensive care, stroke, dialysis (artificial kidney), postoperative and other patients according to professional requirements on the principle of protecting high-risk subjects, minimizing infection.

- Other subjects such as: people who take care of patients, people who provide services to the hospital, people who come to work or work with the hospital, students, and visitors if there are signs of suspicion of COVID-19 such as: The above need to proactively go to the COVID-19 screening area and follow the instructions and instructions of medical staff.

Khanh Linh

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