Hygiene

Wolfgang Schreiber M.A.

Ärztlicher Direktor u. Chefarzt der Klinik für Psychiatrie, Psychotherapie und Psychosomatik

Wörthstraße 5
94032 Passau

Phone: 09931 -8720010-
Mail: ed.nefokniam@rebierhcs.w.rkes

Bernd Weigel

komm. Ärztlicher Direktor u. Chefarzt der Klinik für Psychiatrie, Psychotherapie und Psychosomatik

Wörthstraße 5
94032 Passau

Phone: 09931 -8720010-
Mail: ed.nefokniam@eirtaihcysptzrafehc-tairaterkes

A hygiene officer has not been established

Hygiene commission established
Conference frequency: halbjährlich

Contact person

Bernd Weigel

komm. Ärztlicher Direktor, Chefarzt Gerontopsychiatrie u. Entwicklungs- u. Autismus-Spektrums-Störungen

Wörthstraße 5
94032 Passau

Phone: 09931 -8721102-
Mail: ed.nefokniam@eirtaihcysptzrafehc-tairaterkes

Hospital hygienists (m/f) 1 Zuständig für Standort Deggendorf sowie Passau.
Doctors’ hygiene officer 1
Hygiene specialists 3 Zuständig für Standort Deggendorf sowie Passau.
Hygiene officers in nursing care 9
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 No
Mouth and nose protection Yes
Sterile drape No
Indwelling vein catheter
A site-specific standard for checking the duration of catherisation of central indwelling venous catheters is available Yes
The standard was authorised by management or the hygiene commission 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 No
Checking the further necessity of a sterile wound dressing Yes
Doctor notification and documentation if a postoperative wound infection is suspected No
Hand disinfection (ml / patient day)
Hand disinfectant consumption in all intensive care units non-existant
Hand disinfectant consumption on all general stations 10,00 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
HM04

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

Aktion durchgeführt einmal jährlich durch Krankenhaushygiene

Teilnahme (ohne Zertifikat)

HM05

Annual inspection of the preparation and sterilisation of medical devices

Aufbereitung und Sterilisation von Medizinprodukten wird am Klinikum Deggendorf im Rahmen einer Kooperation durchgeführt.

Frequency : monatlich

HM09

Training of employees on hygiene-related topics

Wird regelmäßig und bei Bedarf durchgeführt.

Frequency : monatlich