Hygiene
Jan-Hendrik Rühl
Geschäftsführender OA Pädiatrie
Phone:
0221
-8907-15029
Mail:
ed.nleok-nekinilk@HJlheuR
Jan-Hendrik Rühl
Geschäftsführender OA Pädiatrie
Phone:
0221
-8907-15029
Mail:
ed.nleok-nekinilk@HJlheuR
A hygiene officer has not been established
Hygiene commission established
Conference frequency: quartalsweise
Contact person
Jan-Hendrik Rühl
Geschäftsführender OA Pädiatrie
Phone:
0221
-8907-15029
Mail:
ed.nleok-nekinilk@HJlheuR
| Hospital hygienists (m/f) | 5 | Eine Hygienebeauftragte-Ärztin ist für die KJP zuständig. |
| Doctors’ hygiene officer | 1 | |
| Hygiene specialists | 10 | Die HFK sind für die drei Betriebsteile der Kliniken der Stadt Köln gGmbH zuständig. |
| Hygiene officers in nursing care | 2 | Die Hygienebeauftragten sind für die KJP zuständig. |
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 | 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) | Yes |
| 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 | not collected |
| 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. | 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
|
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections Hygienefachkräftenetzwerk der Region GNN-Studie des BMG MRE Netzwerk: Labor, regio rhein ahr HYGPFLEG-Netzwerk Arbeitsgemeinschaft Hygiene der DGHM Netzwerk Zukunft + Hygiene (NZH) European Committee on Infection Control (EUCIC) |
| HM05 |
Annual inspection of the preparation and sterilisation of medical devices Die Aufbereitung der Medizinprodukte erfolgt je nach Produkt intern, oder durch einen externen Dienstleister. Es erfolgt eine jährlich Leistungsüberprüfung. |
| HM09 |
Training of employees on hygiene-related topics Zusätzlich zu den Schulungen vor Ort erfolgt verpflichtend eine mindestens jährliche Onlineschulung aller Mitarbeiter. |