Hygiene
Michael Denkinger
Chefarzt
Zollernring 26
89073 Ulm
Phone:
0731
-187-185
Fax: 0731-187-385
Mail:
ed.mlu-adsehteb@luaf.eniger
A hygiene officer has not been established
Hygiene commission established
Conference frequency: halbjährlich
Contact person
Michael Denkinger
Chefarzt
Zollernring 26
89073 Ulm
Phone:
0731
-187-185
Fax: 0731-187-385
Mail:
ed.noiselpaga@luaf.eniger
| Hospital hygienists (m/f) | 1 | Als zentraler Ansprechpartner für hygienerelevante Fragen in unsere Klinik fungiert der Leitende Oberarzt. Regelmäßiger Kontakt zum Gesundheitsamt und weiteren hygienerelevanten Institutionen ergänzen den zentralen Ansprechpartner in der Klinik. |
| Doctors’ hygiene officer | 1 | |
| Hygiene specialists | 1 | Externe Hygienefachkraft vorhanden. Zusätzliche Unterstützung der Hygienefachkräfte des Instituts für Hygiene und Umweltmedizin in Frankfurt. |
| Hygiene officers in nursing care | 4 | Vier Hygienebeauftragte auf den Stationen und ein:e zusätzliche:r Hygienebeauftragte:r(Stellvertretung Pflegedienstleitung), ein:e Hygienebeauftragte:r im Bereich Hauswirtschaft, ein:e Hygienebeauftragte:r im Bereich Therapie. |
CVC hygiene default
| A site-specific guideline on antibiotic therapy is available | Yes |
| The standard was authorised by management or the hygiene commission | Yes |
| The standard deals with hygienic hand disinfection | Yes |
| The standard deals with skin disinfection (skin antiseptics) of the catheter puncture site with adequate skin antiseptics | Yes |
| The standard deals with the observance of the exposure time | Yes |
Application of further hygiene measures
| Sterile gloves | Yes |
| Sterile gown | Yes |
| Head hood | Yes |
| Mouth and nose protection | Yes |
| Sterile drape | Yes |
Indwelling vein catheter
| A site-specific standard for checking the duration of catherisation of central indwelling venous catheters is available | Yes |
| The standard was authorised by management or the hygiene commission | Yes |
No operations performed
Default wound care dressing change
| Default wound care dressing change is available | Yes |
| The internal standard has been authorised by management or the Drug Commission or the Hygiene Commission | Yes |
| Hygienic hand disinfection (before, if necessary during and after dressing changes) | Yes |
| Dressing changes under aseptic conditions (application of aseptic working techniques, no-touch technique, sterile disposable gloves) | Yes |
| Antiseptic treatment of infected wounds | Yes |
| Checking the further necessity of a sterile wound dressing | Yes |
| Doctor notification and documentation if a postoperative wound infection is suspected | No |
Hand disinfection (ml / patient day)
| Hand disinfectant consumption in all intensive care units | non-existant |
| Hand disinfectant consumption on all general stations | 34,00 ml |
| Hand disinfectant consumption is recorded on a ward-specific basis. | Yes |
Dealing with multi-resistant pathogens (MRE) and methicillin-resistant staphylococcus aureus (MRSA)
| The standardized information of patients with a known colonization or infection by the methicillin-resistant staphylococcus aureaus (MRSA) is e.g. through the flyers of the MRSA networks. | yes |
| A site-specific information management with regard to MRSA-populated patients is available (site-specific information management means that there are structured guidelines on how information about settlement or infections with resistant pathogens at the site can be identified at their site employees in order to avoid the spread of pathogens). | yes |
| There is a risk-adapted admission screening based on the current RKI recommendations. | Yes |
| There are regular and structured training courses for employees on how to deal with patients populated by MRSA / MRE / Noro viruses. | Yes |
| No. | Instrument or measure |
|---|---|
| HM02 |
Participation in the Hospital Infection Surveillance System (HISS) of the National Reference Centre for Surveillance of Nosocomial Infections Berechnung des Händedesinfektionsmittelverbrauchs.
|
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections MRE Network Ulm/Neu-Ulm Dr. med. Norbert Sommer |
| HM04 |
Participation in the (voluntary) “Clean Hands Initiative” (CHI) Die Klinik hat im Rahmen der „Aktion Saubere Hände" erfolgreich Maßnahmen und Qualitätsstandards zur Verbesserung der Händedesinfektion umgesetzt. Zertifikat Bronze |
| HM09 |
Training of employees on hygiene-related topics Der Leitende Oberarzt (hygienebeauftragter Arzt) führt regelmäßig und nach Bedarf Kurzschulungen zu allen relevanten Hygienethemen durch. Die externe Hygienefachkraft steht darüber hinaus in engem Kontakt zum hygienebeauftragten Arzt und zur Fortbildungsabteilung, um zeitnah Defizite zu erkennen. |