Abstract: Objective To explore the best caregivers management scheme of general wards under the normalization of the epidemic situation,and to effectively prevent nosocomial cross-infection on the basis of ensuring the caregivers needs of patients. Methods We formulated the targeted plan by analyzing the problems existing in the epidemic control. Face input,electronic caregivers card,double access control system and access scanning and registration system were used to carry out closed closed-loop management of caregivers,supplemented by pre-hospital education,supervision during hospitalization,logistics and material support and discharge services implementation. Compared the caregiver rate,average daily caregivers rate,per capita exit time,access closed-loop rate,daily caregiver management hours before and 3 month,6 month after implementation. Compared the patient satisfaction and the quality control score of ward environment 11 months before and after implementation of the plan. Results The caregivers rate decreased by 15.72%,the double caregivers rate decreased by 77.8%,the average daily caregivers rate decreased by 36.6%;the per capita caregivers exit time decreased by 19.7 min,the closed loop rate increased by 100%,daily caregivers management time decreased by 17.6 min 3 month after the implementation of the scheme. There were significantly differences before and after implementation（P< 0.05）. After 6 month of the program,the caregivers rate decreased by 9.90%,the double caregivers rate decreased by 0,the average daily caregivers rate decreased by 44.8%;the per capita caregivers exit time decreased by 13.0 min;the closed-loop rate was 100%;the daily caregivers management time decreased by 26.6 min compared with those before implementation（P< 0.05）. No nosocomial cross-infection events occurred. Ward nursing environment scores and patient satisfaction had no statistical differences before and after the implementation（P> 0.05）. Conclusion The implementation of the closed caregivers closed-loop management scheme in the general ward under the normal epidemic situation is feasible,which can effectively reduce the caregiver rate,reduce the flow of caregivers,prevent the hospital cross-infection.

Key words: COVID-19, Inpatients, Caregivers, Closed-Loop Management, Nursing Administration Research