Hygiene

Ronald Bottlender

Ärztlicher Direktor

Im Hofholz 6
59556 Lippstadt

Phone: 02945 -981-1004
Fax: 02945-981-1009
Mail: gro.lwl@nietsraW-tdatsppiL-nekinilK-ofnI

A hygiene officer has not been established

Hygiene commission established
Conference frequency: halbjährlich

Contact person

Ronald Bottlender

Ärztlicher Direktor

Im Hofholz 6
59556 Lippstadt

Phone: 02945 -981-1004
Fax: 02945-981-1009
Mail: gro.lwl@nietsraW-tdatsppiL-nekinilK-ofnI

Hospital hygienists (m/f) 1 Bestellt gemäß HygMedVO-NRW §5
Doctors’ hygiene officer 1
Hygiene specialists 3
Hygiene officers in nursing care 2

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 7,86 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

Als psychiatrische Fachklinik ist für uns nur das Modul HAND-KISS (Händehygiene) relevant (http://www.nrz-hygiene.de/surveillance/kiss/hand-kiss/).

  • HAND-KISS
  • STATIONS-KISS
HM03

Participation in other regional, national or international networks for the prevention of nosocomial infections

MRE-Netzwerk Kreis Soest; Hygiene-Arbeitskreis der LWL-Kliniken; Arbeitskreis hygienisch-mikrobiologisches Labor

HM04

Participation in the (voluntary) “Clean Hands Initiative” (CHI)

Teilnahme (ohne Zertifikat)

HM05

Annual inspection of the preparation and sterilisation of medical devices

Sterilisation extern (jährlich Einsicht der Qualitäts- und Validierungsdaten)

Frequency : jährlich

HM09

Training of employees on hygiene-related topics

Frequency : jährlich