Hygiene
A hygiene officer has not been established
Hygiene commission established
Conference frequency: quartalsweise
Contact person
| Hospital hygienists (m/f) | 1 | externer Krankenhaushygieniker |
| Doctors’ hygiene officer | 2 | |
| Hygiene specialists | 1 | |
| Hygiene officers in nursing care | 6 | zusätzlich 2 Hygienebeauftragte im Bereich Funktionsdiagnostik und dem therapeutischen Bereich. |
No CVC (central venous catheter) inserted
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 | Yes |
Hand disinfection (ml / patient day)
| Hand disinfectant consumption in all intensive care units | non-existant |
| Hand disinfectant consumption on all general stations | 17,90 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
|
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections Siegel Stufe 3 (höchste Kategorie) EUROSAFETY_Healthnet |
| HM04 |
Participation in the (voluntary) “Clean Hands Initiative” (CHI) Teilnahme (ohne Zertifikat) |
| HM05 |
Annual inspection of the preparation and sterilisation of medical devices Keine eigene Sterilisation vorhanden, aber regelmäßige Überprüfung von gelieferten Sterilgütern der ext. DL |
| HM09 |
Training of employees on hygiene-related topics Es erfolgen jährliche Schulungen (online) und Präzensschulungen bei neuen Mitarbeiter:innen (quartalsweise) |