[Advice on the rationalized layout of outpatient clinics in a wound repair department]

Zhonghua Shao Shang Za Zhi. 2021 Jul 20;37(7):666-667. doi: 10.3760/cma.j.cn501120-20210224-00067.
[Article in Chinese]

Abstract

According to a document issued by the General Office of National Health Commission, "one person, one diagnosis, and one room" is required in the process of outpatient consultation. However, the patient will need to go to another room for dressing change after the doctor checks the wound if sticking to the conventional layout of current wound repair specialist outpatient clinic in hospitals and following the regulation of "separation of diagnosis and treatment". To allow a patient walking back and forth with the exposed wounds to different clinics or going to another clinic for dressing change with the original dressing reapplied to the wound is against the regulation of nosocomial infection control and the principle of sterility. To ensure that the layout of the outpatient clinic in the wound repair outpatient department not only conforms to the principle of "one person, one diagnosis, and one room", but also meets the characteristics of the diagnosis and treatment process of chronic wounds, this paper proposes the layout of "large space and small partition" in the wound repair clinic.

依据国家卫生健康委办公厅的文件规定,在门诊接诊过程中,需要做到“一人一诊一室”。 但是,如果按目前医院创面修复专科门诊的常规布局,当医师查看创面后,照 “诊疗要分离”的规定,患者需到另外一个空间换药。让患者裸露着创面来回于各个诊室,或采用原敷料再次覆盖创面后,患者至其他诊室换药,均不符合医院感染控制的规定和无菌原则。为让创面修复科的门诊诊室布局既遵守“一人一诊一室”的原则,又符合慢性创面诊疗流程的特点,本文提出创面修复门诊“大空间、小隔断”布局的建议。.

MeSH terms

  • Ambulatory Care Facilities*
  • Bandages*
  • Humans
  • Referral and Consultation
  • Surgical Wound Infection