Hygiene

A hygiene officer has not been established

Hygiene commission not established

Doctors’ hygiene officer 1
Hygiene specialists 1 Frau Anette Will
Hygiene officers in nursing care 2

No CVC (central venous catheter) inserted

Antibiotic therapy
A site-specific guideline on antibiotic therapy is available Yes
The standard was authorised by management or the hygiene commission No
The guideline is adapted to the current local/internal resistance situation No
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

No implementation of wound care

Hand disinfection (ml / patient day)
Hand disinfectant consumption in all intensive care units non-existant
Hand disinfectant consumption on all general stations not collected
Hand disinfectant consumption is recorded on a ward-specific basis. No
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. No
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
HM03

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

Mitarbeiter haben die Möglichkeit sich in der Plattform CNE vom Thieme Verlag fortzubilden.

HM09

Training of employees on hygiene-related topics

Frequency : jährlich