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Total survey of 160,000 people who work in nursing facilities in the metropolitan government area
Just check “Are you currently infected?” … The vulnerable structure remains
After the new coronavirus infection of the caregiver (Corona 19) is confirmed, the confirmed person will be transferred on the afternoon of the 18th to the SRC Rehabilitation Hospital in Gwangju City, Gyeonggi-do, where the infected people continue. News 1
With the subsequent massive infection of the new coronavirus infection (Corona 19) in nursing hospitals and nursing facilities, the quarantine authorities first decided to carry out diagnostic tests for all workers in the nursing facilities of the metropolitan area. It is a stone to prevent further spread by preventively checking if it is confirmed and quarantining the confirmed person. However, experts note that fundamental measures are needed to prevent infection in hospitals, not just to determine if they are infected with Corona 19.
Total investigation of 160,000 people in the metropolitan area, only confirming if they are infected with Corona 19
On the 19th, the Security and Disaster Countermeasures Headquarters announced that “in the metropolitan area, we will begin full inspections of approximately 160,000 workers and users of nursing hospitals, psychiatric hospitals and nursing homes.” The plan is to complete inspections of 130,000 workers in nursing hospitals and 30,000 users of nurseries (nurseries) by the end of this month. On the 14th, quarantine authorities took action, as 52 more people were confirmed daily at Haetrak Nursing Hospital in Mandeok-dong, Buk-gu, Busan. 14 more were confirmed on the day of this hospital, and so far 73 people have been infected.
The problem is that with this comprehensive diagnostic test, medical staff and caregivers only check to see if they are currently infected with Corona 19. It is positive because it can detect asymptomatic infections early or detect outgoing group infections, preventing further spread. However, experts point out that once a negative diagnosis is not enough to cut the path of infection in hospitals, it cannot guarantee a negative result in the future.
The spread of Corona 19 in medical institutions is not limited to nursing hospitals. In other medical institutions such as Gwangju SRC Rehabilitation Hospital (accumulated patients) in Gyeonggi province (59 patients), Master Plus Hospital (66 people), a rehabilitation hospital in Uijeongbu city in Gyeonggi province, and Dana Hospital (67 people), a psychiatric hospital in Dobong-gu, Seoul. The situation is increasing.
Structures that are difficult to quarantine, such as caregivers and shared rooms, must be improved.
Experts note that there is a need for structural improvement in preparing systematic quarantine rules after investigating the general quarantine status of small and medium-sized hospitals, regardless of nursing facilities.
First, the handling of caregivers who are outsiders, but freely entering the hospital, is considered a blind spot for quarantine. Since the caregivers directly recruited by patients are not affiliated with the hospital and change frequently, hospitals often do not adequately manage caregivers. Therefore, unlike other full-time employees in hospitals, education about infection control is lacking. Furthermore, in some cases, a caregiver cares for several patients at the same time, so the risk of transmission is high. Kim Moran, professor of preventive medicine at the National Cancer Center, said: “Since Corona 19 does not end in a short period of time, long-term measures must be put in place, such as the introduction of integrated nursing and nursing services.” The integrated nursing and nursing service provides both nursing and nurse-led services, and because they are full-time nurses, infection control, such as quarantine education, can be done in a systematic way.
The low-cost and high-efficiency structure of small and medium-sized hospitals is also a major obstacle to quarantine. Many rehabilitation hospitals, as well as nursing hospitals, operate more than six rooms, including eight, ten, and twelve rooms. Hauterak Nursing Hospital in Busan also operated up to nine rooms for seriously ill patients. There are many hospitals that try to maximize profits by hospitalizing as many patients as possible at the lowest cost. Many of these hospitals are noted to have less quarantine experience, as infection control responsibilities are often subordinate to other tasks. Choi Won-seok, professor of infectious medicine at Korea University Ansan Hospital, said: “It operates in 9 or 10 rooms, and the number of patients in contact with a caregiver and medical staff is so great that even if only one stranger is infected, there is a high risk of causing a group infection. ” It must be done, ”he said.
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