Fever outpatient laboratory construction standards out! A flood of equipment reserves is coming.

Medicine Network July 31 - Recently, the Beijing Municipal Health and Health Commission issued a fever clinic laboratory construction standards, equipment is just needed ... The first fever clinic laboratory construction standards recently, the Beijing Municipal Health and Health Commission issued a "notice on accelerating the promotion of my medical institutions fever outpatient construction and transformation of the work of the notice."
notice clearly stipulates that the standard requirements for the construction of the fever clinic laboratory and the configuration of related instruments and equipment.
the relevant configuration standards for the construction of the fever clinic laboratory: First, the construction of infrastructure (i) laboratory should at least meet the standards of the medical biosecurity level II (BSL-2) laboratory.
laboratories should be located outside the laboratory of the laboratory of the laboratory and the emergency laboratory of the laboratory, and should be located in the fever clinic area.
(2) The clinical laboratory area of the fever clinic in the second and above medical institutions shall be at least 100 square meters (containing nucleic acid testing laboratory).
the biological safety risk of a fever clinic clinical laboratory is significantly higher than in the laboratory and/or emergency laboratory of the laboratory of the laboratory in the laboratory of the laboratory in the case of a major public health incident, and an independent control area should be re-established within the laboratory for microbial or nucleic acid testing.
(iii) The laboratory should adopt an independent ventilation system, and the clinical laboratory of the fever clinic should have the function areas such as cleaning area, buffer zone, pollution area, dressing room, shower and wash room, and make biosecurity protection measures.
(iv) use the emergency of the pre-establishment laboratory if necessary to rapidly improve the testing capacity and biosecurity level of the clinical laboratory of the fever clinic.
Pro-construction laboratory refers to the temporary construction of a laboratory to meet specific needs, such as a square cabin laboratory, a mobile laboratory, etc.
II. Testing projects, instruments and equipment and information systems construction (i) testing projects carried out in the clinical laboratory of the fever clinic 1. Clinical blood/body fluids should be carried out projects: whole blood cell counting, urine dry chemical analysis, routine examination of feces.
2. Clinical biochemical projects should be carried out: potassium, sodium, chlorine, calcium, bicarbonate/total carbon dioxide, blood sugar, creatine, urea, uric acid, alanine amino transferase, Tianmen dinine amino transferase, gamma-glutamine transferase, total protein, white protein, etc.
3. Clinical immunization/serology should be carried out projects: antigens and/or antibodies, calcitonin, C-reactive proteins for specific epidemic diseases.
4. Clinical molecular biology should carry out projects: nucleic acid testing of pathogens of specific infectious diseases.
(2) Testing instruments and auxiliary equipment laboratories shall select testing equipment suitable for the testing needs of the fever outpatient clinic.
the selection principle of the instrument: miniaturization, detection speed, multi-machine multi-machine.
recommendthe use of closed-cover puncture equipment and fully automatic inspection equipment.
standard configuration: 1) blood analyzer (closed cap puncture); 2) fully automatic urine analyzer; 3) fully automatic biochemical analyzer (wet or dry); 4) fully automatic immune analyzer; 5) gene amplification meter, 6) biosafety centrifuge (e.g. with closed cap or sealed bucket); 7) microscope, 8) medical refrigerator (refrigerated, frozen).
(iii) Safety Equipment: 1. Biosafety Cabinet: Need to use the tested qualified secondary biosafety cabinet (recommended use of AII, BII) for the treatment of infectious, high-risk specimens, as well as the manual operation of aerosols (such as the extraction of vascular caps, etc.).
. disinfection equipment: UV disinfection equipment, circulating air disinfection machine.
(4) the requirements of the fever outpatient inspection on the informationization: (1) set up the inspection project (2) quality system documents and related records (such as quality control records, equipment maintenance records, transfer shift records, etc.) electronic, to achieve network management.
(3) reagents use management functions, real-time monitoring of the stock and duration of reagents.
, quality control and monitoring (i) laboratory should establish a sound quality management system and document, set up quality monitoring indicators to identify the "people, machines, materials, methods, rings" elements in the pre-inspection, medium and post-all-round risks.
(2) The fever clinic laboratory should regularly monitor the quality indicators: quality monitoring recommended indicators: specimen type error rate, specimen container error rate, specimen collection error rate, blood culture pollution rate, anticoagulant specimen coagulation rate, specimen hemolytic rate, pre-test turnaround time, indoor quality control project development rate, indoor quality control project variation coefficient failure rate, laboratory turnover time, test report incorrect rate, etc.
, material reserves and management laboratories should have a certain amount of materials (reagents, supplies, disinfection supplies and personal protective equipment) reserves to meet the basic needs of clinical treatment.
list of material reserves: reagents related to routine testing reagents and infectious pathogen detection; consumables (virus sampling tubes, suction tips with filter elements, etc.); disinfection supplies (chlorine disinfectants, 75% ethanol, hand sanitizer, etc.);
at the same time for reagents, supplies, disinfection supplies and personal protective equipment to carry out safety performance testing assessment report.
regularly assess the validity and quality of the relevant reserve products, and if adverse events of equipment and reagents occur, they shall be reported to the competent medical quality department and the purchasing department for regular rectification.
can be said that the construction of standards issued, not only to do a good job of medical testing resources reserves, so that in meeting the needs of conventional testing at the same time, the specific situation of inspection needs to do a timely response.
therefore, more stringent requirements have been put forward for testing capacity.
and in order to make fever patients near the diagnosis and treatment, the first time to block the transmission of the way, to avoid the way to seek medical treatment and in large hospitals continue to spread, all over the continuous improvement of the construction of the relevant fever clinic, to improve the detection speed.
multi-help laboratory construction equipment configuration is just needed, the General Office of the State Council issued "deepening the reform of the medical and health system in the second half of 2020 key tasks" notice.
notice mentioned that the public health emergency materials security system.
increase the number of medical facilities and mobile laboratories for epidemic prevention and treatment.
strengthen the reserves of pharmaceutical and medical protection materials, enhance the detection capacity of nucleic acids, promote the transformation of fever clinics in medical institutions, and promote the implementation of the "three zones and two channels" requirements.
for the country's message, the previous March 20, Shanghai on the announcement of "on strengthening the city's fever clinic set up management notice."
notice, said to strengthen the construction of fever clinic, improve the facilities and equipment configuration, with adequate support for health care.
municipal, district-level general hospitals and conditional community health service centers shall set up fever clinics, if they do not meet the standards, they shall be immediately modified.
the district health committees select some community health service centers to build fever sentinel clinics according to the population distribution and the supply of surrounding medical resources, undertake screening, information registration, tracking, treatment and referral of fever patients, and improve the detection and early warning capacity of patients with respiratory infectious diseases.
encourage qualified social medical institutions to set up fever clinics.
and related people reported that by the end of June, Shanghai's fever clinic standardization construction will all meet the standard, it can be said that the release of policies for the construction and transformation of fever clinics around the continuous speed up.
unique, on July 13, the National Health and Health Commission issued the "National Health And Health Commission on the overall promotion of community hospital construction notice", clear lying about the current effective supply of health services in China's overall shortage, indicating the need to further optimize the allocation of medical and health resources through community hospital construction.
combined with the normal epidemic prevention and control work, once again encourage conditional community hospitals to set up fever clinics.
can be seen, for the normal situation of the epidemic to achieve timely prevention and control, the allocation of grass-roots related equipment is also the focus, and in the release of a number of policies and the provinces to cooperate fully with the construction of the virus detection capacity to accelerate the improvement, more timely to do a good job of the national "goalkeeper."
but for the construction of the relevant fever clinic laboratory.
can be said that Beijing, as the first region to issue standards for the construction of fever outpatient laboratory, has played a leading role, the latter will drive the provinces for the construction of the fever clinic laboratory landing.
at the same time, the demand for related equipment is also greatly increased.
at the same time, is also increasing to accelerate the development of the IVD industry.
can be said that this year for ivd enterprises will be a dividend period.
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