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    Home > Medical News > Latest Medical News > Notice on Printing and Distributing the Design Guidelines for Makeshift Hospitals (for Trial Implementation)

    Notice on Printing and Distributing the Design Guidelines for Makeshift Hospitals (for Trial Implementation)

    • Last Update: 2022-08-20
    • Source: Internet
    • Author: User
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    1.
    5 Fangcang shelter hospitals should follow the basic principles of rapid centralized admission, closed-loop process control, classified and homogenous management, and clean and polluted zoning, so as to achieve environmental safety, biological safety, epidemic prevention safety, structural safety, fire safety, and reliable quality
    .
     
    1.
    6 The building layout and mechanical and electrical system settings of the Fangcang shelter hospital should meet the requirements of epidemic prevention and control, and meet the functional needs in peacetime and emergency situations
    .
    It should formulate a plan for rapid conversion of functions and systems in normal and emergency situations, and do a good job in material reserves and daily drills
    .
     
    1.
    7 The Fangcang shelter hospital shall provide a safe and practical environment for treatment and rehabilitation for the admitted personnel, and provide safe and convenient working conditions for the medical staff
    .
    The design and selection of site environment, materials, interior colors, etc.
    , should fully consider the physical and psychological needs of the users
    .
     
    1.
    8 The makeshift hospital should be set up with an identification system with functions such as clear guidance and management
    .
     
      1.
    9 Fangcang shelter hospitals should make full use of information technology to strengthen dynamic management such as safety precautions, health monitoring, infection control, material distribution, equipment operation and maintenance, and reduce the work intensity of medical staff on the basis of ensuring treatment effects and efficiency
    .
     
      1.
    10 The functions of the shelter hospital should be comprehensively considered in normal times and in emergency situations.
    The professional design of architecture, structure, electromechanical, fire protection, environmental protection, energy saving, barrier-free, etc.
    should meet the requirements of relevant national and local construction standards , specifications and documents
    .
     
      2.
    Address selection
     
      2.
    1 The site selection of makeshift hospitals should meet the requirements of local town planning, epidemic prevention and control work, social stability risk assessment and environmental protection assessment, etc.
    , and expansion conditions should be reserved
    .
     
      2.
    2 The makeshift hospital shall meet the following requirements:
     
      (1) The terrain is relatively flat, conducive to drainage and air circulation, with good geological conditions and complete municipal facilities;
     
      (2) The roads around the site are unobstructed, with reliable and convenient transportation links with other areas of the town, easy to transport personnel and material distribution, and have good social cooperation conditions;
     
      (3) The site should be kept at a certain distance from surrounding public buildings, away from densely populated areas and places of susceptible people such as kindergartens, schools, and elderly care facilities;
     
      (4) Keep away from pollution sources and production and storage areas of flammable and explosive products, and away from areas such as noise, vibration and strong electromagnetic fields;
     
    (5) Keep away from areas such as   food and feed processing and production enterprises
    .
     
      2.
    3 The site should be adjacent to two urban roads with good traffic conditions, and at least two independent entrances and exits should be set up
    .
     
      2.
    4 The space in the site should meet the requirements of functional layout and traffic organization
    .
     
      3.
    Overall layout
     
      3.
    1 Divide functional areas according to the medical function needs of intensively treating patients with mild symptoms and asymptomatic infections, mainly including the pre-hospital area, the admission area, the clean work area, and the sanitary passage area
    .
    The pre-hospital area and the admission area are polluted areas; the cleaning work area is the clean area; the sanitary passing area is the buffer zone
    .
     
      (1) The pre-hospital area: including the parking area for the vehicles that pick up and drop off the admitted and treated personnel, the vehicle cleaning and disinfection area, and the necessary management rooms;
     
      (2) Treatment area: the building and its surrounding sites where patients are treated for diagnosis and treatment.
    The site is equipped with a temporary storage area for medical waste, sewage treatment and other supporting areas and facilities;
     
      (3) Clean work area: the area where medical and nursing staff work and rest outside the contaminated area, including corresponding supporting rooms such as warehouses;
     
      (4) Sanitary passage area: It is located between the polluted area and the clean area, and is an area for medical staff and materials to enter the polluted area from the clean work area and return to the clean work area from the polluted area for sanitary treatment
    .
    Including the staff changing shoes, changing clothes, washing hands, bathing, as well as wearing and unloading protective equipment rooms, and materials distribution channels should be arranged
    .
     
      3.
    2 The makeshift hospital should reasonably determine the construction scale of the pre-hospital area, the admission area, the cleaning work area, and the sanitation passage area that match each other according to the actual needs, and expansion conditions should be reserved for each area
    .
     
      3.
    3 The greening isolation distance between the buildings and facilities in the polluted area and the adjacent buildings outside the hospital area and the buildings in the clean area should not be less than 20m.
    When the greening conditions are not available, the isolation distance should not be less than 30m
    .
     
          3.
    4 There should be separate entrances and exits for the contaminated area and clean area of ​​the Fangcang shelter hospital, and the distance from each other should not be less than 10m
    .
    A separate transfer outlet for medical waste should be set up
    .
     
          3.
    5 The makeshift hospital should reasonably plan internal roads, greening systems, and streamlines such as cleaning, people and vehicles, medical staff and admissions to avoid cross-infection
    .
    The admitted personnel enter and leave the treatment area through the pre-hospital area, the medical staff and cleaning materials enter and leave the treatment area from the cleaning area through the sanitation pass area, and the medical waste is transported from the treatment area to the temporary storage area of ​​medical waste through the special exit, and then transferred and discharged from the hospital area
    .
     
          4.
    Building
     
          4.
    1 The pre-hospital area should rationally organize the flow of admitted personnel, plan the necessary parking space for vehicles, set up parking spaces for negative pressure ambulances, and set up vehicle decontamination sites and facilities in appropriate locations, and support construction managers and drivers for work and temporary rest.
    room
    .
     
          4.
    2 The admission area mainly includes: reception and registration area, inpatient ward area, inspection and treatment area, rescue of special personnel, nursing area, nurse station, discharge, transfer and disposal area, material storage area, boiling water room, sanitary washing area and temporary medical waste.
    Storage and washroom,
    etc.
     
          4.
    3 It is advisable to set up an activity area, a psychological counseling area, and a health education area in the admission area
    .
    It is advisable to set up working rooms for public security police, cleaning and security guards
    .
    According to the specific situation, the clothes drying area of ​​the admitted personnel can be set up
    .
     
          4.
    4 The treatment area should adopt a square and regular building shape, and should choose the form of large space to facilitate the efficient arrangement of treatment beds and improve the efficiency of diagnosis and treatment
    .
     
          4.
    5 The main body of the building in the treatment area should adopt the form of single-storey and multi-storey buildings
    .
    When it is a multi-storey building, ramps or elevators should be provided for transferring the admitted personnel
    .
    Elevators should be classified and set according to different objects of use such as admissions and medical staff, clean objects and dirt
    .
     
          4.
    6 Strictly plan the entrances and exits and traffic flow lines of the admitted and medical staff in the treatment area, and separate flow lines for clean objects and dirt to prevent cross-infection
    .
    Medical staff, security guards, cleaning and other staff should enter and leave the treatment area from different hygiene passage areas
    .
    Entrance and exit should be provided with rain and snow shelter facilities
    .
     
          4.
    7 The functional layout of the treatment area should be in an open form, with the inpatient ward area as the center, and corresponding functional areas should be reasonably arranged in the surrounding locations
    .
     
          4.
    8 According to actual needs, set up rescue and care areas for special personnel before transfer, and separate them from other areas
    .
    Equipped with corresponding rescue equipment and facilities, and barrier-free passages and facilities should be set up on the transfer route of the admitted personnel
    .
     
          4.
    9 According to the bed size and management requirements of the admission area, the number and scale of nurse stations should be reasonably planned.
    The nurse station should be located in the middle of the inpatient ward area to facilitate observation and access to the bedside of the admitted personnel
    .
     
      4.
    10 A nursing unit should be set up for every 20 beds in the admission area, and lightweight partitions should be set up between the units
    .
    The net use area of ​​each bed of the admitted personnel should not be less than 6 square meters, and flexible partitions can be combined according to the situation
    .
    It is advisable to set partitions with a height of not less than 1.
    3m at the head of the bed and one side to form a relatively private space
    .
     
      4.
    11 When public toilets and toilets are centrally set up in the treatment area, 10-15 toilet faucets and 10-15 toilet seats should be allocated for every 100 beds
    .
    Shower rooms for admitted personnel can be set up according to the actual situation
    .
     
      4.
    12 Combined with functional partitions, space and installation conditions for medical examination and treatment equipment can be set up or reserved in appropriate positions in the pre-hospital area and the treatment area, which is convenient for fast transportation and installation
    .
    When setting up mobile CT, testing laboratory and other facilities, the corresponding civil engineering and electromechanical construction conditions should be reserved, as well as the passage between them and the building
    .
     
      4.
    13 The cleaning work area should be equipped with medical staff offices, conference rooms (with remote consultation function), duty rooms, restrooms, toilets, shower rooms, material warehouses, pantries, equipment rooms and other supporting rooms, and equipped for public security police, Office, rest, shift handover room used by cleaning, security and other personnel
    .
    Police workstations, staff quarters and other rooms can be set up as needed
    .
     
      4.
    14 The cleaning work area should be reasonably divided into office areas, dormitory areas and supporting areas according to different work properties and risk levels, and rationally plan the flow lines of personnel, meals, and materials
    .
    The dormitory should be a single room, and the room should be equipped with a toilet, equipped with basic facilities such as washing, toilet seat, shower and so on
    .
     
      4.
    15 The area and layout of the kitchen and meal prep room should be reasonably determined according to the management process, the scale of the admissions and medical staff
    .
    Measures should be taken to avoid noise, oil fume, smell and food storage and transportation from disturbing other areas
    .
     
      4.
    16 The sanitation passage area should be close to the treatment area, and can be connected to the treatment area through corridors,
    etc.
    Parking sites for vehicles transporting staff and materials should be set up near the sanitation passage area
    .
    The scale of the construction of the sanitation through room should be reasonably determined by taking into account factors such as the scale of the Fangcang shelter hospital, the management process, and the time spent by medical and nursing staff through the sanitation through area
    .
    A buffer room with double doors should be used for material distribution between the contaminated area and the clean work area
    .
     
      4.
    17 Medical staff entering the contaminated area should go through rooms such as changing clothes, wearing protective equipment and buffers; returning from the contaminated area to the clean area, they should go through rooms such as one-off, two-off, shower (which can be set up as needed), and changing rooms; Outward transportation channels for medical waste should be relatively independent and convenient
    .
     
      4.
    18 The shelter hospital shall, according to the needs of peacetime and emergency, set up water supply and drainage, ventilation and air conditioning, heating, power transformation and distribution, network communication, fire control and safety precautions and other equipment rooms
    .
    Its location should meet the requirements of infection control, and it should be close to the load center.
    Noise and vibration should not interfere with the treatment, rehabilitation and work of admitted and medical staff
    .
    The equipment room should set up or reserve the channel for installation and maintenance of large equipment
    .
    Sealing measures should be taken where the pipes pass through different rooms
    .
     
      4.
    19 Standardized lightweight structural main components and modular and prefabricated enclosure materials should be selected for the shelter hospital
    .
    The selection of building materials and structural design should meet the requirements of scrub resistance, corrosion resistance, leakage resistance, and easy cleaning and maintenance
    .
     
      5.
    Structure
     
      5.
    1 The structural safety level of the makeshift hospital shall not be lower than Class 1, and the seismic fortification classification shall not be lower than the key fortification category
    .
     
      5.
    2 According to the actual needs, reasonably determine the working life of the structural design
    .
     
      5.
    3 Structural action and the value of floor and roof live loads shall comply with the current national standards "General Specification for Engineering Structures" GB55001 and "Code for Loads of Building Structures" GB50009
    .
     
      5.
    4 The selection of temporary building structures for emergency construction shall be based on local conditions and meet the requirements of convenient processing, transportation, installation and rapid construction
    .
     
      5.
    5 The main structure and enclosure structure shall meet the requirements of airtightness, and the structural materials shall meet the requirements of anti-seepage and anti-leakage
    .
     
      6.
    Water supply and drainage
     
      6.
    1 The water supply and drainage design of the shelter hospital shall comply with the current national standard "Building Water Supply and Drainage Design Standards" GB50015; when using existing buildings for renovation, the building water supply and drainage system shall comply with the current national standard "Building and Industrial Water Supply and Drainage System Safety".
    Evaluation standard "GB/T51188" for safety evaluation, and reform according to the evaluation results
    .
     
      6.
    2 The domestic water supply pump room and the centralized domestic hot water machine room shall be located in the clean area
    .
     
      6.
    3 The domestic water supply system should be supplied by the cut-off water tank, and the water supply system should adopt the water supply system of the cut-off water tank and the water pump.
    When it is difficult to supply water with the cut-off water tank, the pressure-reducing type backflow preventer can be used
    .
     
      6.
    4 The drainage system shall take technical measures to prevent water seal damage, and shall meet the following requirements:
     
      (1) The maximum design drainage capacity of the drainage riser should not be greater than 0.
    7 times the value specified in the current national standard "Design Standard for Water Supply and Drainage in Buildings" GB50015;
     
      (2) The height of the water seal of the water trap shall not be less than 50mm and shall not be greater than 100mm;
     
      (3) When there is a wash basin near the floor drain, it is advisable to take measures to drain the wash basin and seal the water for the floor leak
    .
     
      6.
    5 The ventilation of the drainage system and the exhaust gas of the sewage treatment system shall be discharged at high altitude, and shall not be adjacent to the personnel activity area
    .
     
      6.
    6 The drainage pipeline shall be subjected to a closed water test, and measures shall be taken to prevent the leakage and leakage of sewage in the drainage pipeline
    .
     
      6.
    7 Secondary biochemical treatment shall be adopted for sewage treatment.
    When it is discharged into the urban sewage pipeline with urban sewage treatment plant, the sewage treatment can adopt enhanced disinfection treatment process, and shall meet the following requirements:
     
      (1) Pre-disinfectant dosing should be set at the water inlet of the septic tank for sewage treatment;
     
      (2) The hydraulic retention time of the secondary disinfection tank after the septic tank should not be less than 2h
    .
     
      7.
    Heating, ventilation and air conditioning
     
      7.
    1 The interior design temperature of each functional room and area of ​​the makeshift hospital should be 18-22℃ in winter and 26-28℃ in summer
    .
     
      7.
    2 The heating system should adopt radiator heating system or floor radiant heating system
    .
     
      7.
    3 The air-conditioning system of the clean work area should adopt the separate air-conditioning system, multi-connected air-conditioning system or fan coil system independent of each room
    .
     
      7.
    4 A DC (fresh air) air-conditioning system should be adopted in the treatment area of ​​large space; if an all-air primary return air air-conditioning system is used, the fresh air volume should meet the requirements for supplementary air in the treatment area, and the return air outlet should be equipped with air filtration equipment with no lower than medium and high efficiency
    .
     
      7.
    5 The ventilation systems of the admission area, clean work area and sanitary passage area shall be independently set up by area
    .
     
      7.
    6 If a fresh air system is installed in each room of the cleaning work area, the fresh air volume should not be less than 2 times/h
    .
     
      7.
    7 Mechanical exhaust should be set up in the treatment area, and the exhaust air volume should not be less than 150m3/h·bed
    .
    Indoor exhaust vents should be kept away from the entrance of medical staff and the work area
    .
    The fresh air volume in the treated area should not be greater than 80% of the exhaust air volume
    .
     
      7.
    8 The toilet in the treatment area shall be equipped with mechanical exhaust facilities, and the exhaust air volume shall not be less than 12 times/h
    .
     
      7.
    9 Mechanical ventilation should be set up in the first, second, and shower rooms that return from the polluted area to the clean area, and the air in the surrounding rooms should be controlled to flow to the first room in sequence
    .
    Once the room is removed, the number of air changes should not be less than 20 times/h, and the indoor airflow organization should use upper air supply and lower air exhaust
    .
     
      7.
    10 The exhaust air of the room where the protective clothing is removed, the treatment area and its toilet should be treated by a purification and disinfection device before being discharged
    .
     
      7.
    11 Facilities such as garbage temporary storage room and sewage treatment should be equipped with mechanical ventilation
    .
     
      7.
    12 The outdoor air outlet of the air exhaust system should not be adjacent to the personnel activity area, and the air outlet should be higher than the roof to discharge to the high altitude
    .
    The horizontal distance between the air outlet and the air intake of the fresh air system should not be less than 20m; when the horizontal distance is less than 20m, the air outlet should be no less than 6m higher than the air inlet
    .
     
      7.
    13 The condensed water of the air conditioner in the treatment area shall be collected centrally, and shall be discharged into the sewage drainage system of the facility by means of indirect drainage for unified treatment
    .
     
      Eight, electrical
     
      8.
    1 ,《》GB/T29328
     
      8.
    2 、、;
     
      8.
    3
     
      8.
    4 、;、
     
      8.
    5 200 lx,、,300 lx;
     
      8.
    6 、、、
     
      8.
    7 2.
    5,30mA
     
      8.
    8 3220V、10A
    。、,6220V、10A

     
      8.
    9 、、;
     
      8.
    10 ,、
     
      8.
    11 、
     
      、
     
      9.
    1 ,、、、、
    。,
     
      9.
    2 ,,
     
      9.
    3 Wi-Fi、;,
     
      9.
    4
     
      9.
    5 ,,400mm~500mm
     
      9.
    6 、、,
    。,

     
      9.
    7 ,、
     
      9.
    8 ,“”、、、、
     
      、
     
      10.
    1 A medical gas storage room with direct access to the outdoors should be set up in the admission area, equipped with oxygen cylinders, oxygen bags and supporting oxygen inhalation supplies for rescue and emergency use by special personnel
    .
     
      10.
    2 The admission area is equipped with non-invasive ventilators according to the needs
    .
      All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health and Health Commission, Development and Reform Commission, and Housing and Urban-Rural Development Departments (commissions and bureaus):
     
      In order to actively adapt to the situation of normalized prevention and control of the new crown pneumonia epidemic, build a medical treatment system that combines emergency and emergency, do a good job in the classified treatment of patients infected with new coronary pneumonia, and strengthen the reserve of makeshift hospitals, the "Guidelines for the Design of Makeshift Hospitals (for Trial Implementation)" are hereby issued.
    To you, for the implementation of the actual reference in various places
    .
       
     
      General Office of the National Health Commission General Office of the National Development and Reform Commission
     
      General Office of the Ministry of Housing and Urban-Rural Development
     
      July 6, 2022
     
         (form of information disclosure: active disclosure)
     
      Design guidelines for makeshift hospitals
    Design guidelines for makeshift hospitals
     
      (trial)
      (trial)
     
      1.
    General
    1.
    General
     
      1.
    1 In order to actively adapt to the situation of normalized prevention and control of the new coronary pneumonia epidemic, guide the construction of Fangcang shelter hospitals, build a medical treatment system that combines emergency and emergency, do a good job in the classified treatment of new coronary pneumonia infected people, and maximize the collection of receivables and treatment.
    Develop this design guideline
    .
     
      1.
    2 The makeshift hospital is a building and its supporting facilities for the rapid, large-scale, and centralized treatment of patients with mild and asymptomatic infections of the new coronary pneumonia
    .
    This guideline is applicable to the design work of the Fangcang shelter hospital project
    .
     
      1.
    3 The construction of the makeshift hospital should make full use of the existing facilities and equipment, and combine the overall urban planning, medical resources, construction conditions, management mode and other actual conditions under the local joint prevention and control mechanism to reasonably determine the reconstruction and construction plan to ensure rapid use.
    Run efficiently
    .
     
      1.
    4 The makeshift hospital should consider the daily and emergency use needs as a whole, and reasonably determine the use functions
    .
    It can be used as a daily facility in normal times, and can be quickly and smoothly transformed into a medical treatment facility in an emergency
    .
     
      1.
    5 Fangcang shelter hospitals should follow the basic principles of rapid centralized admission, closed-loop process control, classified and homogenous management, and clean and polluted zoning, so as to achieve environmental safety, biological safety, epidemic prevention safety, structural safety, fire safety, and reliable quality
    .
     
      1.
    6 The building layout and mechanical and electrical system settings of the Fangcang shelter hospital should meet the requirements of epidemic prevention and control, and meet the functional needs in peacetime and emergency situations
    .
    It should formulate a plan for rapid conversion of functions and systems in normal and emergency situations, and do a good job in material reserves and daily drills
    .
     
      1.
    7 The Fangcang shelter hospital shall provide a safe and practical environment for treatment and rehabilitation for the admitted personnel, and provide safe and convenient working conditions for the medical staff
    .
    The design and selection of site environment, materials, interior colors, etc.
    , should fully consider the physical and psychological needs of the users
    .
     
      1.
    8 The makeshift hospital should be set up with an identification system with functions such as clear guidance and management
    .
     
      1.
    9 Fangcang shelter hospitals should make full use of information technology to strengthen dynamic management such as safety precautions, health monitoring, infection control, material distribution, equipment operation and maintenance, and reduce the work intensity of medical staff on the basis of ensuring treatment effects and efficiency
    .
    healthy and healthy
     
      1.
    10 The functions of the shelter hospital should be comprehensively considered in normal times and in emergency situations.
    The professional design of architecture, structure, electromechanical, fire protection, environmental protection, energy saving, barrier-free, etc.
    should meet the requirements of relevant national and local construction standards , specifications and documents
    .
    standard standard
     
      2.
    Address selection
    2.
    Address selection
     
      2.
    1 The site selection of makeshift hospitals should meet the requirements of local town planning, epidemic prevention and control work, social stability risk assessment and environmental protection assessment, etc.
    , and expansion conditions should be reserved
    .
     
      2.
    2 The makeshift hospital shall meet the following requirements:
    2.
    2 The makeshift hospital shall meet the following requirements:
     
      (1) The terrain is relatively flat, conducive to drainage and air circulation, with good geological conditions and complete municipal facilities;
     
      (2) The roads around the site are unobstructed, with reliable and convenient transportation links with other areas of the town, easy to transport personnel and material distribution, and have good social cooperation conditions;
     
      (3) The site should be kept at a certain distance from surrounding public buildings, away from densely populated areas and places of susceptible people such as kindergartens, schools, and elderly care facilities;
     
      (4) Keep away from pollution sources and production and storage areas of flammable and explosive products, and away from areas such as noise, vibration and strong electromagnetic fields;
     
    (5) Keep away from areas such as   food and feed processing and production enterprises
    .
    enterprise enterprise
     
      2.
    3 The site should be adjacent to two urban roads with good traffic conditions, and at least two independent entrances and exits should be set up
    .
     
      2.
    4 The space in the site should meet the requirements of functional layout and traffic organization
    .
     
      3.
    Overall layout
    3.
    Overall layout
     
      3.
    1 Divide functional areas according to the medical function needs of intensively treating patients with mild symptoms and asymptomatic infections, mainly including the pre-hospital area, the admission area, the clean work area, and the sanitary passage area
    .
    The pre-hospital area and the admission area are polluted areas; the cleaning work area is the clean area; the sanitary passing area is the buffer zone
    .
     
      (1) The pre-hospital area: including the parking area for the vehicles that pick up and drop off the admitted and treated personnel, the vehicle cleaning and disinfection area, and the necessary management rooms;
     
      (2) Treatment area: the building and its surrounding sites where patients are treated for diagnosis and treatment.
    The site is equipped with a temporary storage area for medical waste, sewage treatment and other supporting areas and facilities;
     
      (3) Clean work area: the area where medical and nursing staff work and rest outside the contaminated area, including corresponding supporting rooms such as warehouses;
     
      (4) Sanitary passage area: It is located between the polluted area and the clean area, and is an area for medical staff and materials to enter the polluted area from the clean work area and return to the clean work area from the polluted area for sanitary treatment
    .
    Including the staff changing shoes, changing clothes, washing hands, bathing, as well as wearing and unloading protective equipment rooms, and materials distribution channels should be arranged
    .
     
      3.
    2 The makeshift hospital should reasonably determine the construction scale of the pre-hospital area, the admission area, the cleaning work area, and the sanitation passage area that match each other according to the actual needs, and expansion conditions should be reserved for each area
    .
    hospital hospital
     
      3.
    3 The greening isolation distance between the buildings and facilities in the polluted area and the adjacent buildings outside the hospital area and the buildings in the clean area should not be less than 20m.
    When the greening conditions are not available, the isolation distance should not be less than 30m
    .
     
          3.
    4 There should be separate entrances and exits for the contaminated area and clean area of ​​the Fangcang shelter hospital, and the distance from each other should not be less than 10m
    .
    A separate transfer outlet for medical waste should be set up
    .
     
          3.
    5 The makeshift hospital should reasonably plan internal roads, greening systems, and streamlines such as cleaning, people and vehicles, medical staff and admissions to avoid cross-infection
    .
    The admitted personnel enter and leave the treatment area through the pre-hospital area, the medical staff and cleaning materials enter and leave the treatment area from the cleaning area through the sanitation pass area, and the medical waste is transported from the treatment area to the temporary storage area of ​​medical waste through the special exit, and then transferred and discharged from the hospital area
    .
     
          4.
    Building
        4.
    Building
     
          4.
    1 The pre-hospital area should rationally organize the flow of admitted personnel, plan the necessary parking space for vehicles, set up parking spaces for negative pressure ambulances, and set up vehicle decontamination sites and facilities in appropriate locations, and support construction managers and drivers for work and temporary rest.
    room
    .
     
          4.
    2 The admission area mainly includes: reception and registration area, inpatient ward area, inspection and treatment area, rescue of special personnel, nursing area, nurse station, discharge, transfer and disposal area, material storage area, boiling water room, sanitary washing area and temporary medical waste.
    Storage and washroom,
    etc.
     
          4.
    3 It is advisable to set up an activity area, a psychological counseling area, and a health education area in the admission area
    .
    It is advisable to set up working rooms for public security police, cleaning and security guards
    .
    According to the specific situation, the clothes drying area of ​​the admitted personnel can be set up
    .
     
          4.
    4 、,,,
     
          4.
    5 、
    。,
    。、
     
          4.
    6 ,,
    。、

     
          4.
    7 ,,
     
          4.
    8 、,
    。,
     
          4.
    9 、,,,
     
      4.
    10 20,
    。6,
    。1.
    3m,
     
      4.
    11、,10010-1510-15

     
      4.
    12 、,、
    。CT、,,
     
      4.
    13 、()、、、、、、、,、、、、
    。、
     
      4.
    14 、,、、
    。,,、、
     
      4.
    15 、、
    。、、
     
      4.
    16 ,

    。、、,

     
      4.
    17 Medical staff entering the contaminated area should go through rooms such as changing clothes, wearing protective equipment and buffers; returning from the contaminated area to the clean area, they should go through rooms such as one-off, two-off, shower (which can be set up as needed), and changing rooms; Outward transportation channels for medical waste should be relatively independent and convenient
    .
     
      4.
    18 The shelter hospital shall, according to the needs of peacetime and emergency, set up water supply and drainage, ventilation and air conditioning, heating, power transformation and distribution, network communication, fire control and safety precautions and other equipment rooms
    .
    Its location should meet the requirements of infection control, and it should be close to the load center.
    Noise and vibration should not interfere with the treatment, rehabilitation and work of admitted and medical staff
    .
    The equipment room should set up or reserve the channel for installation and maintenance of large equipment
    .
    Sealing measures should be taken where the pipes pass through different rooms
    .
     
      4.
    19 Standardized lightweight structural main components and modular and prefabricated enclosure materials should be selected for the shelter hospital
    .
    The selection of building materials and structural design should meet the requirements of scrub resistance, corrosion resistance, leakage resistance, and easy cleaning and maintenance
    .
     
      5.
    Structure
    5.
    Structure
     
      5.
    1 The structural safety level of the makeshift hospital shall not be lower than Class 1, and the seismic fortification classification shall not be lower than the key fortification category
    .
     
      5.
    2 According to the actual needs, reasonably determine the working life of the structural design
    .
     
      5.
    3 Structural action and the value of floor and roof live loads shall comply with the current national standards "General Specification for Engineering Structures" GB55001 and "Code for Loads of Building Structures" GB50009
    .
     
      5.
    4 The selection of temporary building structures for emergency construction shall be based on local conditions and meet the requirements of convenient processing, transportation, installation and rapid construction
    .
     
      5.
    5 The main structure and enclosure structure shall meet the requirements of airtightness, and the structural materials shall meet the requirements of anti-seepage and anti-leakage
    .
     
      6.
    Water supply and drainage
    6.
    Water supply and drainage
     
      6.
    1 The water supply and drainage design of the shelter hospital shall comply with the current national standard "Building Water Supply and Drainage Design Standards" GB50015; when using existing buildings for renovation, the building water supply and drainage system shall comply with the current national standard "Building and Industrial Water Supply and Drainage System Safety".
    Evaluation standard "GB/T51188" for safety evaluation, and reform according to the evaluation results
    .
     
      6.
    2 The domestic water supply pump room and the centralized domestic hot water machine room shall be located in the clean area
    .
     
      6.
    3 The domestic water supply system should be supplied by the cut-off water tank, and the water supply system should adopt the water supply system of the cut-off water tank and the water pump.
    When it is difficult to supply water with the cut-off water tank, the pressure-reducing type backflow preventer can be used
    .
     
      6.
    4 The drainage system shall take technical measures to prevent water seal damage, and shall meet the following requirements:
     
      (1) The maximum design drainage capacity of the drainage riser should not be greater than 0.
    7 times the value specified in the current national standard "Design Standard for Water Supply and Drainage in Buildings" GB50015;
     
      (2) The height of the water seal of the water trap shall not be less than 50mm and shall not be greater than 100mm;
     
      (3) When there is a wash basin near the floor drain, it is advisable to take measures to drain the wash basin and seal the water for the floor leak
    .
     
      6.
    5 The ventilation of the drainage system and the exhaust gas of the sewage treatment system shall be discharged at high altitude, and shall not be adjacent to the personnel activity area
    .
     
      6.
    6 The drainage pipeline shall be subjected to a closed water test, and measures shall be taken to prevent the leakage and leakage of sewage in the drainage pipeline
    .
     
      6.
    7 Secondary biochemical treatment shall be adopted for sewage treatment.
    When it is discharged into the urban sewage pipeline with urban sewage treatment plant, the sewage treatment can adopt enhanced disinfection treatment process, and shall meet the following requirements:
    Disinfection and disinfection
     
      (1) Pre-disinfectant dosing should be set at the water inlet of the septic tank for sewage treatment;
     
      (2) The hydraulic retention time of the secondary disinfection tank after the septic tank should not be less than 2h
    .
     
      7.
    Heating, ventilation and air conditioning
    7.
    Heating, ventilation and air conditioning
     
      7.
    1 、18-22℃,26-28℃
     
      7.
    2
     
      7.
    3 、
     
      7.
    4 ();,,
     
      7.
    5 、、
     
      7.
    6 ,2/h
     
      7.
    7 ,150m3/h·

    。80%
     
      7.
    8 ,12/h
     
      7.
    9 、、,
    。20/h,、
     
      7.
    10 、
     
      7.
    11 、
     
      7.
    12 The outdoor air outlet of the air exhaust system should not be adjacent to the personnel activity area, and the air outlet should be higher than the roof to discharge to the high altitude
    .
    The horizontal distance between the air outlet and the air intake of the fresh air system should not be less than 20m; when the horizontal distance is less than 20m, the air outlet should be no less than 6m higher than the air inlet
    .
     
      7.
    13 The condensed water of the air conditioner in the treatment area shall be collected centrally, and shall be discharged into the sewage drainage system of the facility by means of indirect drainage for unified treatment
    .
     
      Eight, electrical
    Eight, electrical
     
      8.
    1 The makeshift hospital is an important power user, and its power supply configuration should not be lower than the configuration requirements for secondary important power users in the current national standard "Technical Specifications for Power Supply and Self-provided Emergency Power Configuration for Important Power Users" GB/T29328
    .
     
      8.
    2 The load level of the safety protection system, sewage treatment facilities, lighting and ventilation equipment in the sanitary passage area shall be Class I; the load level of the lighting and ventilation equipment in the treatment area shall be Class II
    .
     
      8.
    3 The emergency generator interface should be reserved at the appropriate location such as the substation
    .
     
      8.
    4 Power distribution cabinets, power distribution boxes and other facilities should be set up in power distribution rooms or management rooms; power distribution circuits should be set up in clean areas and polluted areas respectively
    .
     
      8.
    5 The illuminance of the ward area in the shelter should be 200 lx, and local lighting should be set up in places such as the nurse station, inspection and treatment area, and the illuminance should be 300 lx; ​​anti-glare measures should be taken for general lighting in the ward area
    .
     
      8.
    6 Fixed or mobile ultraviolet sterilizers, disinfection lamps and other disinfection facilities should be set up in places that require sterilization and disinfection, such as sanitary passage areas, temporary storage rooms for dirt, and decontamination rooms
    .
     
      8.
    7 When the installation height of the luminaire is lower than 2.
    5 meters, the power distribution circuit should be provided with a 30mA residual current protector as additional protection
    .
     
      8.
    8 Each bed should be provided with no less than three 220V, 10A single-phase five-hole sockets
    .
    The rescue and care areas for special personnel should be provided with independent socket circuits according to the beds, and each bed should be provided with no less than six 220V, 10A single-phase five-hole sockets
    .
    Sockets for cleaning and smart devices should be installed in public areas
    .
     
      8.
    9 Wires and cables shall be low-smoke, halogen-free, low-toxicity flame-retardant cables; fire-fighting equipment power supply cables shall comply with the relevant provisions of current national and local standards
    .
     
      8.
    10 When the slot box and the line pipe pass through the partition wall, the gap, slot and nozzle of the partition wall shall be reliably sealed with non-combustible materials
    .
     
      8.
    11 Auxiliary equipotential bonding shall be set in places such as toilets, shower rooms and toilets with shower function
    .
     
      9.
    Intelligent
    9.
    Intelligent
     
      9.
    1 The Fangcang shelter hospital should be equipped with a video security monitoring system, and monitoring cameras should be installed in important parts such as the entrances and exits of the hospital, the treatment area, the cleaning work area, the sanitary passage area, and the temporary garbage storage room
    .
    Two-way voice intercom cameras should be used in the health passage area to facilitate remote supervision and guidance by the hospital staff on duty or at the nurse station
    .
     
      9.
    2 The makeshift hospital should set up an entrance and exit control system according to the management process and functional area.
    The system adopts a non-contact control method, which should be able to be lifted immediately when an emergency such as a fire occurs
    .
     
      9.
    3 The interior of the makeshift hospital should achieve full coverage of wireless Wi-Fi and full coverage of mobile phone signals; wired and wireless networks should be set up in the cleaning work area, and intranet and extranet information sockets should be set up respectively
    .
     
      9.
    4 The ventilation system of the shelter hospital should adopt centralized control and working status monitoring methods
    .
     
      9.
    5 Emergency call buttons should be set up in the toilets in the treatment area, which should be installed at an easy-to-operate position beside the toilet, and the distance from the bottom to the ground should be 400mm to 500mm
    .
     
      9.
    6 The makeshift hospital should set up a medical intercom system in the ward area, rescue and care areas for special personnel, and the main unit should be located in the medical duty room
    .
    A one-key alarm button should be set up in the nurse station or the medical duty room, and the alarm signal will be transmitted to the security monitoring center or command center
    .
    The fire alarm system should be connected to the network monitoring system of local fire protection facilities
    .
     
      9.
    7 According to the requirements of prevention and control work, the Fangcang shelter hospital shall set up dedicated communication interfaces with competent authorities such as the CDC and emergency command center
    .
     
      9.
    8 Qualified Fangcang shelter hospitals should make full use of artificial intelligence and Internet of Things application technologies to realize "contactless" body temperature monitoring and face recognition, psychological counseling, place disinfection, material distribution, key population demographic monitoring, and dirt tracking management, etc.
    Safety and epidemic prevention function
    .
     
      10.
    Medical gas
    10.
    Medical gas
     
      10.
    1 A medical gas storage room with direct access to the outdoors should be set up in the admission area, equipped with oxygen cylinders, oxygen bags and supporting oxygen inhalation supplies for rescue and emergency use by special personnel
    .
     
      10.
    2 The admission area is equipped with non-invasive ventilators according to the needs
    .
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