Hygiene

A hygiene officer has not been established

Hygiene commission not established

Hospital hygienists (m/f) 1 intern
Doctors’ hygiene officer 1
Hygiene specialists 1 intern
Hygiene officers in nursing care 3 intern

No CVC (central venous catheter) inserted

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 15,50 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. no
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. No
There are regular and structured training courses for employees on how to deal with patients populated by MRSA / MRE / Noro viruses. Partly
No. Instrument or measure
HM05

Annual inspection of the preparation and sterilisation of medical devices

Jährliche Requalifizierung der Dampfsterilisationsprozesse. Lückenlose Dokumentation der einzelnen Aufbereitungsprozesse.

Frequency : jährlich

HM09

Training of employees on hygiene-related topics

Schulungen erfolgen 1x jährlich geplant und anlassbezogen.

Frequency : jährlich