Hygiene
Jürgen M. Bauer
Ärztlicher Direktor
Rohrbacher Straße 149
69126 Heidelberg
Phone:
06221
-319-1501
Fax: 06221-319-1505
Mail:
ed.noiselpaga@BZG.tairaterkestzrafehC
A hygiene officer has not been established
Hygiene commission established
Conference frequency: halbjährlich
Contact person
Jürgen M. Bauer
Ärztlicher Direktor
Rohrbacher Straße 149
69126 Heidelberg
Phone:
06221
-319-1501
Fax: 06221-319-1505
Mail:
ed.noiselpaga@BZG.tairaterkestzrafehC
| Hospital hygienists (m/f) | 2 | Wir erfüllen die Vorgaben des Landesrechts BW. |
| Doctors’ hygiene officer | 1 | |
| Hygiene specialists | 1 | fest angestellte Hygienefachkraft in Teilzeit 80% |
| Hygiene officers in nursing care | 4 | Hygienebeauftragte in der Pflege und Therapie (40 Unterrichtseinheiten à 45 min) |
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 | 45,00 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
|
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections Ziel des MRE-Netzwerkes ist es, durch die Zusammenarbeit aller Kliniken und Gesundheitsämter der weiteren Zunahme von multiresistenten Erregern vorzubeugen und das Auftreten von MRE soweit wie möglich zu reduzieren. MRE - Netzwerk |
| HM04 |
Participation in the (voluntary) “Clean Hands Initiative” (CHI) Die "Aktion Saubere Hände" ist eine nationale Kampagne zur Reduktion nosokomialer Infektionen und Übertragungen von multiresistenten Erregern durch die Verbesserung der Händedesinfektions-Compliance in deutschen Gesundheitseinrichtungen. Teilnahme (ohne Zertifikat) |
| HM05 |
Annual inspection of the preparation and sterilisation of medical devices Wir nutzen ausschließlich Einmalinstrumente. |
| HM09 |
Training of employees on hygiene-related topics Schulungen zu hygienerelevanten Themen erfolgen auch berufsgruppenbezogen. Ein Fortbildungsplan ist vorhanden. |