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The interior of the ‘Central Vaccination Center’ (hereinafter referred to as the vaccination center) installed at the National Medical Center in Jung-gu, Seoul, was shown for the first time on day 1, while medical personnel treating patients with The new coronavirus infection (Corona 19) in Korea was selected as the number one vaccination target.
The vaccination center prepared for the first vaccination with the Korea COVID-19 vaccine aims to produce model data that will serve as the basis for the vaccination center to be established throughout the country while inoculating many medical personnel as soon as possible .
The vaccination center, located on the site of the former U.S. Army Corps of Engineers, the site of the National Medical Center’s planned relocation site, has converted one of three rooms that were originally used as quarantine rooms. for patients confirmed with corona19 in a separate vaccination. space.
The vaccination center largely consists of a ‘waiting area’ where body temperature is measured and a questionnaire is prepared, a ‘vaccination area’ where pre-immunization and vaccination are performed, an ‘observation area’ that monitors adverse reactions after vaccination, and a ‘vaccine storage area’ where vaccines are stored. It is divided into 4 areas, including.
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First of all, outside the building with a waiting area, there is a large parking lot to predict how long it will be from waiting for vaccination to observation after vaccination.
Upon entering the waiting area, body temperature is measured and if normal body temperature is confirmed, you will receive a tag with a number and wait in the reception waiting seat along the yellow line on the floor. Here, candidates for vaccination are selected first and the second screening is done according to the questionnaire.
Kim Yeon-jae, head of the research and development team at the Central Hospital Infectious Diseases Operations Center, said: “Waiting for receipt is different from other vaccines in that it selects targets for vaccination, rather than just wait. It’s important, “he explained.
In the questionnaire, you must write information about the presence of pregnancy and underlying diseases, history of allergies, and medications that you are currently taking.
There is a yellow sticker on the back of the seat in the waiting area that says “Do not sit” to keep the waiting area 1 m away.
If you are identified as a candidate for vaccination, you will need to wait a while before proceeding to the building where the vaccination is taking place, following the arrow tag on the ground.
At this time, the television in front of the waiting people will see the video of educational material on the efficacy, precautions and adverse reactions of the vaccine.
After the second body temperature measurement is completed, a separate standby staff guides the person to inoculate to the inoculation area.
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‘Building C’, where the vaccination actually takes place, is also divided into three areas: a pre-diagnosis room, an inoculation room, and a post-inoculation observation room.
After the previous diagnosis made in the waiting room, the doctor decides whether or not the final vaccination has been carried out in the pre-test room of the vaccination area.
Subjects will be judged if final vaccination is possible in one of the four booths where a doctor is assigned to each person, and will then receive a vaccination from one of the four vaccination nurses in the vaccination room.
“The medical staff in charge of vaccination is the most important part,” Kim said. “We will set the initial goal of inoculating 600 people per day, with four teams of Yejin vaccinating doctors and nurses, and we will reduce or increase some of them.”
There is a waiting space in the middle of the traffic line leading to the waiting area and the vaccination area, to prevent patients from crowding or pushing in some areas.
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The post-vaccination observation room is also divided into a general observation room, an intensive observation room, and an emergency treatment room.
Subjects without adverse reactions can wait here 15 minutes after vaccination, and those at risk of vaccination wait 30 minutes.
“If you have a history of allergies (after vaccination), you’re thinking of ‘waiting 30 minutes,'” he said. “In general, if there is no underlying disease or special risk, you can wait 15 minutes.”
However, in relation to the emergency department, Kim said: “If an acute hypersensitivity reaction such as ‘anaphylaxis’ occurs after vaccination, some patients may experience an emergency situation where breathing becomes difficult due to a drop in blood pressure or swelling of the airways. “” At this time, intubation or CPR, “A space reserved to supply sap.”
If further treatment is needed after first aid, you will be taken immediately to the hospital, and for this, an ambulance and an emergency medical technician will be on standby at all times.
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Separately, the inoculation space is equipped with an “injection preparation room” that manufactures vaccine injections under aseptic conditions.
In the “clean bench” of the injection preparation room, work is underway to transfer the mRNA (messenger ribonucleic acid) vaccine thawed in a cryogenic freezer to a syringe in a quantity.
“The received vaccine is stored in a frozen state, and only the required amount is thawed when receiving the number of inoculation targets the day before.” He makes vaccines (injections) for 6 people, “he explained.
Currently, the storage and distribution of vaccines is managed exclusively by the Ministry of Defense.
The Defense Ministry mobilized the military to establish the “vaccine storage area” as a control zone and to do everything possible to ensure security.
There are two cryogenic freezers and a refrigerator.
Of these, in the case of a cryogenic freezer, an additional unit has been prepared so that it can be used as an auxiliary unit when a power problem occurs in an operating unit.
On the other hand, in preparation for an unexpected situation that may occur throughout the transportation and vaccination process prior to the introduction of the Corona 19 vaccine, the government has been conducting simulation training in which all vaccine-related ministries Such as the Korea Centers for Disease Control and Prevention, Ministry of Food and Pharmaceutical Safety, Ministry of Land, Infrastructure and Transport, Ministry of Defense and Customs Service.
In the training that lasts until the 3rd, focus on maintaining the ‘cold chain’ (refrigerated distribution), which is essential for the transport of vaccines, check various possibilities, such as an attempted theft of a vaccine or a vehicle accident.
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