Gesundheitszentrum Wetterau gGmbH Kreiskrankenhaus Schotten
Hygiene
Chefarzt
Professor Dr. med. Reinhard Voss
Wetterauer Platz 1
63679 Schotten
Phone: 06044-61-5017
Fax: 06044-61-5018
Mail: ed.uarettew-zg@ssov.drahnier
A hygiene officer has not been established
Hygiene commission established
Conference frequency: halbjährlich
Contact person
Chefarzt
Professor Dr. med. Reinhard Voss
Wetterauer Platz 1
63679 Schotten
Phone: 06044-61-5017
Fax: 06044-61-5018
Mail: ed.uarettew-zg@ssov.drahnier
| Hospital hygienists (m/f) | 1 | Hygienebeauftragte Ärztinnen und Ärzte haben unter besonderer Berücksichtigung Ihres fachspezifischen Wissens und ihrer klinischen Erfahrung eine zentrale Verantwortung für den Erfolg des Gesamtkonzepts der Prävention. |
| Doctors’ hygiene officer | 4 | |
| Hygiene specialists | 1 | Die Fachgesundheits- und Krankenpfleger/-pflegerinnen für Hygiene und Infektionsprävention (Hygienefachkraft) sind im klinischen Alltag zentrale Ansprechpartner für alle Berufsgruppen. Sie vermitteln die Maßnahmen und Inhalte von Hygieneplänen und tragen damit vorwiegend im pflegerischen tragen damit vorwiegend im pflegerischen Bereich zur Umsetzung infektionspräventiver Maßnahmen bei. Dieser fordert eine regelmäßige Präsenz auf den Stationen und in den Funktionsbereichen. |
| Hygiene officers in nursing care | 2 | Die Hygienebeauftragten sind zwischen Station/Bereich und Hygieneteam wertvolle Mittler und Multiplikatoren und können so entscheidend zur Akzeptanz und Umsetzung empfohlener Maßnahmen beitragen. |
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 |
Antibiotic therapy
| A site-specific guideline on antibiotic therapy is available | Yes |
| The standard was authorised by management or the hygiene commission | Yes |
| The guideline is adapted to the current local/internal resistance situation | Yes |
Antibiotic prophylaxis
| 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) | No |
| 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
| 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 | 96,00 ml |
| Hand disinfectant consumption on all general stations | 25,00 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 DEVICE_KISS HAND_KISS ITS_KISS MRSA_KISS OP_KISS
|
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections MRE-Netz Mittelhessen MRE-Netz Mittelhessen |
| HM04 |
Participation in the (voluntary) “Clean Hands Initiative” (CHI) Ergebnisse werden im Haus kommuniziert. Teilnahme (ohne Zertifikat) |
| HM05 |
Annual inspection of the preparation and sterilisation of medical devices Erfolgt bei den regelhaften Hygienebegehungen Frequency : jährlich |
| HM09 |
Training of employees on hygiene-related topics Regelmäßige Pflichtfortbildungen Frequency : monatlich |