Thomas Wündisch
Ärztlicher Direktor
Baldingerstraße 01
35043 Marburg
Phone:
06421
-58-63900
Fax: 06421-58-63161
Mail:
ed.mg-ku@hcsidneuW.samohT
Thomas Wündisch
Ärztlicher Direktor
Baldingerstraße 01
35043 Marburg
Phone:
06421
-58-63900
Fax: 06421-58-63161
Mail:
ed.mg-ku@hcsidneuW.samohT
A hygiene officer has not been established
Hygiene commission established
Conference frequency: halbjährlich
Thomas Wündisch
Ärztlicher Direktor
Baldingerstraße 01
35043 Marburg
Phone:
06421
-58-63900
Fax: 06421-58-63161
Mail:
ed.mg-ku@hcsidneuW.samohT
Hospital hygienists (m/f) | 3 | am Standort Baldingerstr am UKGM Marburg |
Doctors’ hygiene officer | 33 | |
Hygiene specialists | 8 | für alle Standorte am UKGM Marburg (Baldingerstr, Klinik f. Psychiatrie und Psychosomatik, Klinik für Kinder- und Jugendpsychiatrie und Butzbach) |
Hygiene officers in nursing care | 71 | Diese Angaben beziehen sich auf den Standort Baldingerstrasse des UKGM in Marburg. Es gibt weitere berichtspflichtige Standorte (Kliniken der Kinder- und Jugendpsychiatrie (KJP) /Tagesklinik KJP -Butzbach und der Klinik für Psychiatrie und Psychosomatik). |
A site-specific guideline on antibiotic therapy is available | No |
The standard was authorised by management or the hygiene commission | No |
The guideline is adapted to the current local/internal resistance situation | No |
A site-specific standard for perioperative antibiotic therapy is available | Yes |
The standard was authorised by management or the hygiene commission | Yes |
The standardised antibiotic therapy is checked in a structured way for each patient operated on using a checklist (e.g. using the “WHO Surgical Checklist” or using our own/adapted checklists) | Yes |
Indication for antibiotic prophylaxis | Yes |
Antibiotics to be used (taking into account the expected germ spectrum and the local/regional resistance situation) | Yes |
Time/duration of antibiotic prophylaxis | Yes |
Default wound care dressing change is available | Yes |
The internal standard has been authorised by management or the Drug Commission or the Hygiene Commission | No |
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 disinfectant consumption in all intensive care units | 114,00 ml |
Hand disinfectant consumption on all general stations | 40,00 ml |
Hand disinfectant consumption is recorded on a ward-specific basis. | Yes |
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 Das UKGM ist Mitglied im MRE-Netzwerk Mittelhessen, einem Zusammenschluss von Einrichtungen des Gesundheits– oder Pflegewesens zum verantwortlichen Umgang mit multiresistenten Erregern. |
HM05 |
Annual inspection of the preparation and sterilisation of medical devices Die Zentrale Sterilgutversorgung ist nach DIN ISO 13485 zertifiziert. |
HM09 |
Training of employees on hygiene-related topics |