Hygiene

Bärbel Christiansen

Direktorin Institut für Krankenhaus- und Umwelthygiene

Ratzeburger Allee 160
23538 Lübeck

Phone: 0451 -500-16481
Mail: ed.hsku@nesnaitsirhC.lebreaB

A hygiene officer has not been established

Hygiene commission established
Conference frequency: halbjährlich

Contact person

Bärbel Christiansen

Direktorin Institut für Krankenhaus- und Umwelthygiene

Ratzeburger Allee 160
23538 Lübeck

Phone: 0451 -500-16481
Mail: ed.hsku@nesnaitsirhC.lebreaB

Hospital hygienists (m/f) 1
Doctors’ hygiene officer 1
Hygiene specialists 1
Hygiene officers in nursing care 1

No CVC (central venous catheter) inserted

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 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

Keine formale Teilnahme an KISS, aber Erfassung gemäß KISS in allen Kliniken des UKSH.

  • CDAD-KISS
  • MRSA-KISS
HM03

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

MRE-Netzwerk Lübeck (Gesundheitsamt und beteiligte Kliniken), Kommission für Krankenhaushygiene und Infektionsprävention am RKI

HM05

Annual inspection of the preparation and sterilisation of medical devices

Die Aufbereitung und Sterillisation von Medizinprodukten erfolgt im UKSH.

HM09

Training of employees on hygiene-related topics