2021年2月下旬,上海出现了一轮本土新型冠状病毒（简称新冠病毒）感染疫情,使得新冠疫情由常态化防控转为疫情防控攻坚战。根据国家卫生健康委印发《区域新型冠状病毒核酸检测组织实施指南（第三版）》要求,具备核酸检测能力的各级医疗机构迅速开展新型冠状病毒核酸检测,这给非定点收治新冠患者医院紧急转制为定点医院提出了更高的检测防控要求。检验科作为与新冠病毒检测标本近距离接触的临床科室,存在实验室工作时间长、工作强度大,面临临床常规标本和核酸标本气溶胶和接触传播的潜在风险,更需科室组织管理、人力资源规划、实验室核酸检测、实验室感染防控、医疗物资保障、工作人员心理疏导等多方面完善。本文结合上海交通大学医学院附属瑞金医院北部院区检验科应急转型工作实践,包括人员配置、临床样本的检测项目规划、核酸应急检测建立,科学、规范、有序开展相关工作,为兄弟单位提供检验科在应对新冠肺炎疫情紧急检测统筹管理方面的经验。

In late February 2021, a round of indigenous novel coronavirus (referred to as COVID-19) infection emerged in Shanghai, making the COVID-19 outbreak shift from regular prevention and control to drastic pandemic prevention and control measures. According to the requirements of the Guidelines for the Organization and Implementation of Regional Novel Coronavirus Nucleic Acid Testing (Third Edition) issued by the National Health and Wellness Commission, medical institutions at all levels with nucleic acid testing capabilities rapidly carried out novel coronavirus nucleic acid testing, which put forward higher requirements for testing and prevention and control for the emergency conversion of non-designated admission hospitals to designated hospitals. As a clinical department with close contact with novel coronavirus testing specimens, the department of clinical laboratory has long working hours and high work intensity, as well as the potential risk of aerosol and contact transmission of clinical routine specimens and nucleic acid specimens, which requires more improvement from human resource planning, laboratory nucleic acid testing, laboratory infection prevention and control, medical material security, and staff psychological guidance. In this paper, we hope to combine the practice of emergency transformation work of the laboratory department in the northern hospital area of Ruijin Hospital, including personnel allocation, planning of testing items for clinical samples, and establishment of emergency nucleic acid testing, to carry out relevant work in a scientific, standardized and orderly manner, and provide our associate organizations with valuable experience in the coordination and management of emergency testing in the laboratory department in response to the novel coronavirus outbreak.