The caster of the armor in the isolation ward – Li Yan, a hospital infection expert of the Shandong Provincial Public Health Clinical Center

The caster of the armor in the isolation ward – Li Yan, a hospital infection expert of the Shandong Provincial Public Health Clinical Center

She is a medical worker, an anti-epidemic fighter, and a Communist Party member. Since the outbreak of the epidemic, it has always been the first to charge, and has been fighting at the forefront of epidemic prevention and control.

As an expert in hospital infection control at the provincial and municipal level designated hospitals for COVID-19—Shandong Public Health Clinical Center, she has no hesitation in her commitment to care for everyone, and has always guarded the safety of medical staff during the battle against the epidemic.

mission and responsibility

Late at night on April 16, 2022, the person who had just returned from Tibet to guide epidemic prevention and controlLi YanOnce again received an order, assembled overnight, entered the isolation ward of the new crown treatment specialist building, and was responsible for the prevention and control of new crown patients in the hospital.

Like a soldier receiving a combat order, she didn’t have time to bring the necessities of life, and she didn’t have time to give a hug to the sleeping infant, she hurriedly spoke to the elderly mother-in-law, and immediately came to the familiar isolation ward – at this moment, her lover is Another medical unit was closed, fully participating in epidemic prevention and control. Nothing can be taken into account, and nothing has time to take into account—as a full-time hospital staff member of the Provincial Public Health Clinical Center, this is a mission, a responsibility, and a political task that must be fulfilled by a Communist Party member.

Hospital infection control is the lifeline of epidemic prevention and control in the new crown treatment process, the red line to ensure the combat effectiveness of medical staff, and the indestructible armor of the warriors who are charging. In the special environment of new crown treatment, the staff of the isolation ward are directly facing the highly contagious new crown virus all the time, fighting in close quarters. “A hole as big as the tip of a needle comes in to fight the big wind”, any trivial trivial matter is a great risk point for the prevention and control of “armor”, ignoring any inconspicuous clues may cause irreparable damage huge loss.

  Hospital feeling training – so hoarse to speak

There are nearly 100 staff in the isolation ward of the specialist building, in addition to doctors and nurses, there are security guards, cleaning and so on. Due to the particularity of the work in the isolation ward, the professionals are regularly rotated for rest, and the replacement time is complicated.

She knows that everyone, 24 hours a day, every operation, every detail, can’t be sloppy. Nosocomial infection must be prevented and stabilized to avoid nosocomial infection to the greatest extent possible. Only by being cautious can we ensure that the soldiers have enough food and can win this tough battle.

The training task is unusually heavy.Li YanAccording to the characteristics of the isolation wards on different floors, the comrades have produced training courseware for hospital sense knowledge in different professions and positions, and repeated the training. In particular, the second training of key links such as theoretical knowledge of hospital sense and wearing and taking off protective equipment… has been strengthened; after the training, the on-site assessment must be passed. For some irregularities found in the work process and real-time monitoring, immediately repeat the training and re-assessment until qualified.The results of standardization, proficiency, and zero mistakes of all staff are inseparable from the results.Li YanComrade hands-on training.

rightLi YanFor example, it is normal for her to not drink water or eat for a day. She is often so tired that she is so hoarse that she cannot speak.

Supervision and guidance – “Mr. Li, we have a sense of security when you are here”

Precise and precise, harsh to the slightest. Supervision and guidance are an important part of the nosocomial infection work in isolation wards, and the main way to discover hidden risks in a timely manner.

In terms of personnel, all those who enter the isolation ward to work are within the scope of supervision.

In terms of space, from entering the gate of the ward building in the isolation ward to exiting the gate of the ward building in the isolation ward, the eyes of the hospital sense have to keep an eye on the whole process.

In terms of content, from protection to disinfection, from hand hygiene to emergency response to occupational exposure, from environmental monitoring to risk assessment, from sewage treatment to medical waste disposal…

In the new crown treatment area, there seems to be no place where there is no hospital feeling without supervision. “The top is in charge of the sky, the down is in charge of the ground, and the middle is in charge of the air”, which is not bad. “Your hospital is touching, just like a traffic policeman”,Li YanWith a smile; the nurse secretly said behind the back, “The hospital is touching people to find faults”,Li YanNoncommittal. Whether it’s a traffic policeman or someone who picks up faults — it’s hard to say anything about famous generals, right?

Full-area real-time monitoring is an extension of her eyes. The walkie-talkie is an amplification of her voice.

– “Mr. Li, my protective suit broke through a small hole.” “Immediately use the nearest hand sanitizer or alcohol three times the range that you can get around you and immediately withdraw according to the procedure.”

——“Mr. Li, I feel that the mask is wet.” “Withdraw immediately according to the procedure. I will wait for you outside the second exit area.”

——”Mr. Li, the nurse in the polluted area is nauseous and nauseated.” “Assist her to withdraw according to the procedure immediately, and ask the head nurse to send someone to the second escape area to respond. Don’t be nervous, I will always provide real-time guidance in the monitoring.”

After being reminded in real time, she must chat with the parties afterwards.

Regular nucleic acid monitoring of environmental objects and air sampling is also an important part of the investigation of potential risks. Where there is a sudden or unexpected situation, we must find the root cause; for the problems that arise, summarize and analyze and retrain.

Whether doctors, nurses, or cleaners, no matter what kind of confusion they encounter, their instinctive response is to “look for Mr. Li”. The hospital moved from a “fault picker” to a “safety guard” for everyone.

A round of work is over,Li YanComrade is about to rest – “Mr. Li, I really don’t want you to leave. We have a sense of security here, and you are our security guardian.”

  Continuously optimize the process and improve the system – rest time around the clock

The virus is evolving, the situation is changing, and new problems and challenges are constantly emerging. Systems and processes must be continuously improved.

During the work in the isolation ward,Li YanComrades took advantage of the limited rest time in the resident hotel to revise and improve a total of 49 items of hospital sense systems, procedures and emergency plans in the isolation ward. Cooperate with the nursing department to complete more than 20 nursing procedures related to hospital feeling. In response to the problems that have arisen, the “Consensus on the Detailed Management of Nosocomial Infection Prevention and Control in Isolation Wards (May 2022 Version)” was concluded, which promoted the homogeneous management of the isolation wards in the three buildings of the center, and substantially improved the emergency prevention and control of the isolation wards. ability, which greatly eliminates the hidden dangers.

The system and process should be transformed into the actual actions of medical staff.Li YanComrades make full use of daily morning meetings, special class meetings for infection control in isolation wards, and Tencent meetings during the evening break, repeatedly emphasizing real-time monitoring and problems found on the spot, repeatedly “nag” standardized operation procedures, and various accidental occupational exposures. emergency response methods. Encourage all staff in the isolation ward to have a deep understanding of the nosocomial infection prevention and control measures for new coronary pneumonia.

——Behind all of this, she has been working overtime day and night.

Like thousands of anti-epidemic warriors and soldiers in white, they are all ordinary people

One day on the commuter car, a colleague said that he hadn’t made a video with his child for 3 days.

  Li YanI suddenly realized that after arriving in the isolation ward for more than 20 days, I was so busy that I forgot to make a video with my son, and forgot to call my family!

At that moment, she felt guilty for her children and her parents. With tears in her eyes, she looked out the car window, trying hard not to let the tears flow.

This mother and this daughter have been busy, always busy, and seem to have nothing else to do.

Even when she occasionally videotaped with her children later, she was still typing on the keyboard, or institutional procedures, or work plans, or responding to inquiries.

If healthcare workers are fighters, then, likeLi YanComrade such a hospital is touching, is the guardian of the soldiers’ safety. With their rich professional knowledge, rigorous work attitude, lofty professionalism and dedication, they have spared no effort to dedicate their youth and blood, casting indestructible “armor” for the soldiers.

Like thousands of anti-epidemic warriors and soldiers in white, they have been fighting, dedicated and beautiful.

Just like those ordinary flowers in the colorful spring.

  Li Yan

Deputy chief nurse, member of the Communist Party of China.

The Nosocomial Infection Management Office of Shandong Provincial Public Health Clinical Center is engaged in the management of nosocomial infection.

Member of the Infectious Diseases Group, Hospital Infection Management Branch of Shandong Medical Association.

He has won the second prize in the “Provincial Health System Hospital Infection Management Post Skills Competition”.

He was rated as “Technical Expert in Nosocomial Infection Management Post in the Provincial Health System” by Shandong Provincial Department of Health and Shandong Provincial Medical Trade Union.