Hygiene
Rembert Koczulla
Chefarzt Pneumologie & Ärztlicher Leiter der Hygienekommision
Phone:
08652
-93-1540
Fax: 08652-93-221541
Mail:
ed.kinilk-neohcs@alluzcoKR
A hygiene officer has not been established
Hygiene commission established
Conference frequency: halbjährlich
Contact person
Rembert Koczulla
Chefarzt Pneumologie & Ärztlicher Leiter der Hygienekommision
Phone:
08652
-93-1540
Fax: 08652-93-221541
Mail:
ed.kinilk-neohcs@alluzcoKR
| Hospital hygienists (m/f) | 2 | für die gesamte Schön Klinik BGL |
| Doctors’ hygiene officer | 1 | |
| Hygiene specialists | 1 | für die gesamte Schön Klinik BGL |
| Hygiene officers in nursing care | 3 | für die gesamte Schön Klinik BGL |
No CVC (central venous catheter) inserted
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 | Yes |
Hand disinfection (ml / patient day)
| Hand disinfectant consumption in all intensive care units | non-existant |
| Hand disinfectant consumption on all general stations | 14,70 ml |
| Hand disinfectant consumption is recorded on a ward-specific basis. | Partly |
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 |
|---|---|
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections Wir sind über die Hygienefachkraft im MRSA Netzwerk und mit der Fachgruppe Hygiene in einem internen Hygienenetzwerk organisiert. In diesem Rahmen werden quartalsweise 50 Qualitäts-Kennzahlen und –Indikatoren zur Hygienequalität erhoben, bewertet und ggf. notwendige Maßnahmen daraus. |
| HM05 |
Annual inspection of the preparation and sterilisation of medical devices Die Medizinprodukteaufbereitung wird regelmäßig, mindestens jedoch jährlich überprüft RDG: Wartung und Validierung nach DIN 15883-1 Steckbeckenspülen: Wartung und Überprüfung nach DIN 15883-3 Sterile MP: Überprüfung durch externen Dienstleister |
| HM09 |
Training of employees on hygiene-related topics Die Mitarbeiter werden regelmäßig zu Themen der Infektionsprävention und Krankenhaushygiene geschult. |