New coronaviruses are rampant around the world. Starting from the second week of March, a large number of overseas Hong Kong people return every day, and the number of diagnoses makes the local medical system overwhelmed. Since March 20, the Hospital Authority has set up testing centers in Yabo and North Lantau Hospitals to take samples for people who have symptoms of the airport and send them to the hospital for testing.
Zheng Zhicong, director of Internet infection control at Hong Kong Island West Hospital, bluntly said that the preparation time is very tight. He received a telephone notification at 7:45 pm on March 18 and would start operations on the morning of 20. A number of high-level staff members not only have to co-ordinate the testing center, but also take into account the original work in the hospital, just like "one person works two jobs."
Huang Shuzhen, Senior Nursing Director of the Networked Infection Control Group of Hong Kong West Hospital, said that the conversion work is like "turning a stadium into a hospital." First of all, it is necessary to formulate the route of employees and patients, and also carefully consider the details of the medical staff's workflow, work entrances and exits, and air conditioning equipment in the venue.
Li Liye, the administrative director of the deputy hospital of Tianshuiwei Hospital and a consultant doctor in the emergency department, said that a large number of people returning to Hong Kong have been infected since mid-March, and some patients who have been diagnosed have not been admitted to the hospital for several days at home; Waiting for testing at the airport has made the HA understand the urgency of setting up a testing center.
Zheng Zhicong, director of Internet infection control at Hong Kong Island West Hospital, bluntly said that the preparation time was very tight. He received a telephone notification at 7:45 p.m. on March 18, and met at 9 a.m. on 19th. The location is fine-tuned and will start operating at 8 am the next day, with only two hours of sleep in between. Zheng also said that he and his colleagues completed regular tests for people returning from Hubei charter flights on March 17, and said with a smile, "After two weeks of hard work, I would have had the opportunity to bluff, and know that there are new tasks."
He continued that several senior staff members interviewed had to co-ordinate the testing center and also take into account the original work in the hospital, just like "one person works two jobs." They will visit Yabo on weekends and holidays, and hope to communicate face-to-face with every frontline medical staff as much as possible. "In strange places, it is the responsibility to ensure the safety of Qu (frontline medical staff)."
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Huang Shuzhen, Senior Nursing Director of the Networked Infection Control Group of Hong Kong West Hospital, said that careful consideration should be given to the workflow of medical staff, work entrances and exits, and air-conditioning equipment in venues. (Photo by Yu Junliang)
Huang Shuzhen, Senior Nursing Director of the Networked Infection Control Group of Hong Kong West Hospital, said that she learned that there was only one day to remodel Yabo. At the moment, she was "too big to see only one eye." It was difficult to believe that "a stadium should be transformed into a hospital." The 10,000-square-foot field is empty. First of all, it is necessary to make a route between employees and patients. "Must be one-way (a one-way route), try to avoid cross infection." Medical staff work flow, work entrances and exits, air conditioning equipment and other details It also needs to be carefully considered one by one to minimize the risk of infection. For example, she said that the central nurse station and the patient area should be separated by two iron horses; and between the doctor and the patient, two consultation tables should also be separated.
Zheng Zhicong said that because there is no negative pressure facility in the Asian Expo Museum, it is not ideal for taking patient samples, so the team decided to move the sampling location to a covered outdoor place. There are four independent spaces, and two large fans are placed on both sides. To ensure adequate natural ventilation. In addition, the engineer removed part of the air extraction system to prevent the outdoor air from being blown back into the room.
In terms of manpower, Li Liye said that the "Yabo team" includes 40 doctors and 36 nurses on shift, plus clerical staff, information technology personnel, cleaning staff, etc., a total of more than 100 people. Lin Kaishao, Director of Infection Control, North Lantau Hospital, bluntly stated that the military's heart is very important. He noticed that colleagues would cheer each other when handing over, and the director would open the phone 24 hours a day to care about whether colleagues had any needs and answer their questions immediately.
Liang Ming, the head nurse of the HA, said that his colleagues responded positively and actively joined the Yabo team, and within a few hours they had enough staff. He said that each needs six to eight nurses, two of whom are responsible for sampling, and can take samples for 6 to 8 patients per hour.
The testing centers of Yabo and North Lantau Hospital ceased operation on April 5 and 19 respectively. Li Liye revealed that the two centers conducted more than 14,000 tests, of which 7.3% were diagnosed. Of all the test visits, 55% were arrivals at the airport, and 8% of them were diagnosed; the remaining test visits were contacts of the diagnosed ones, 10% of whom were diagnosed by close contacts, and 4.5% of other contacts.