Am Hirschberg 1a
66606 St. Wendel
Phone:
06851-59-01
Mail:
ed.suahneiram@dnw.ofni
ed.suahneiram@dnw.ofni
ed.suahneiram@dnw.ofni
| Quantity performed | 171 |
| Exception? | No exception |
| Overall result forecast presentation: | yes |
| Quantity performed reporting year: | 171 |
| Quantity forecast year: | 191 |
| Examination by state associations? | yes |
| Exemption? | yes |
| Result of the examination by the federal state authorities? | yes |
| Transitional arrangement? | no |
| No. | Explanation |
|---|---|
| CQ31 | Guideline for the care of proximal femur fractures (QSFFx-RL) |
| Day shift | ||
|---|---|---|
| Compliance with minimum requirements | yes | |
| Level of implementation | 92,0 % | |
| Occupational group | Minimum requirements met | Level of implementation (%) |
| Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten | ja | 110,97 % |
| Pflegefachpersonen | nein | 90,93 % |
| Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen | ja | 119,64 % |
| Spezialtherapeutinnen und Spezialtherapeuten | nein | 77,9 % |
| Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten | nein | 76,18 % |
| Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen | nein | 68,11 % |
| Night shift | ||
| Compliance with minimum requirements | no | |
| Minimum requirement (full-time staff) | 55 | |
| Current staffing levels (full-time staff) | 63 | |
| Number of nights, subject to the minimum requirement | 83 | |
| Day shift | ||
|---|---|---|
| Compliance with minimum requirements | yes | |
| Level of implementation | 87,0 % | |
| Occupational group | Minimum requirements met | Level of implementation (%) |
| Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten | nein | 92,53 % |
| Pflegefachpersonen | nein | 88,71 % |
| Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen | ja | 114,31 % |
| Spezialtherapeutinnen und Spezialtherapeuten | nein | 80,51 % |
| Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten | nein | 84,69 % |
| Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen | nein | 59,17 % |
| Night shift | ||
| Compliance with minimum requirements | no | |
| Minimum requirement (full-time staff) | 55 | |
| Current staffing levels (full-time staff) | 63 | |
| Number of nights, subject to the minimum requirement | 85 | |
| Day shift | ||
|---|---|---|
| Compliance with minimum requirements | yes | |
| Level of implementation | 95,0 % | |
| Occupational group | Minimum requirements met | Level of implementation (%) |
| Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten | ja | 102,67 % |
| Pflegefachpersonen | ja | 96,74 % |
| Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen | ja | 125,27 % |
| Spezialtherapeutinnen und Spezialtherapeuten | nein | 81,1 % |
| Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten | ja | 92 % |
| Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen | nein | 70,4 % |
| Night shift | ||
| Compliance with minimum requirements | no | |
| Minimum requirement (full-time staff) | 55 | |
| Current staffing levels (full-time staff) | 63 | |
| Number of nights, subject to the minimum requirement | 87 | |
| Day shift | ||
|---|---|---|
| Compliance with minimum requirements | yes | |
| Level of implementation | 92,0 % | |
| Occupational group | Minimum requirements met | Level of implementation (%) |
| Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten | ja | 103 % |
| Pflegefachpersonen | ja | 93,36 % |
| Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen | ja | 108,93 % |
| Spezialtherapeutinnen und Spezialtherapeuten | nein | 81,32 % |
| Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten | nein | 80,92 % |
| Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen | nein | 58,03 % |
| Night shift | ||
| Compliance with minimum requirements | yes | |
| Minimum requirement (full-time staff) | 55 | |
| Current staffing levels (full-time staff) | 61 | |
| Number of nights, subject to the minimum requirement | 77 | |
Full record of compliance maintained
| Number of days shown | 366 |
| Days of non-performance | 0 |
| Number of minimum requirements not met | 0 |
| Minimum requirement | Days of non-performance |
|---|---|
| Trauma room | 0 |
| Availability | 0 |
| Computed tomography (CT) | 0 |
| Intensive care beds | 0 |
| Department of Surgery | 0 |
| Forwarding by air | 0 |
| Department of Internal Medicine | 0 |
| Intensive care beds with ventilator facilities | 0 |
| Emergency care training courses | 0 |
| Treatment prioritisation system (triage) | 0 |
| Responsibility for emergency care | 0 |
| Minimum requirement | Days of non-performance |
|---|---|
| Doctor on duty | 0 |
| Supervision by a medical specialist | 0 |
| Geriatric expertise | 0 |
| Operating room equipment | 0 |
| Post-operative physiotherapy | 0 |
| Independent organisational unit | 0 |
| Minimum requirement | Days of non-performance |
|---|---|
| SOP: Surgical procedures | 0 |
| SOP: Perioperative Planning | 0 |
| SOP: Capacity to consent | 0 |
| Standard Operating Procedure for the Management of Anticoagulants | 0 |
| SOP: Ortho-geriatric Care | 0 |
| SOP: Physiotherapy Measures | 0 |
| SOP: Patient-centred blood management | 0 |
| Number | Group |
|---|---|
| 69 | Medical specialists (m/f) , psychological psychotherapists (m/f) and child and adolescent psychotherapists (m/f) who are subject to the obligation to undergo further training* |
| 43 | Number of medical specialists (m/f) from no. 1 who have completed a five-year period of further training and are therefore subject to the obligation to provide evidence |
| 43 | Number of those persons from no. 2 who have provided proof of further training according to Article 3 of the G-BA regulations |
According to Section 4 (2) of the Quality Management Guideline, facilities must provide for the prevention of and intervention in cases of violence and abuse as part of their internal quality management. The aim is to prevent, recognise and respond appropriately to abuse and violence, particularly against vulnerable patient groups such as children and adolescents or people in need of help, and also to prevent it within the facility. The respective procedure is aligned with the size of the facility, the range of services and the patients in order to define customised solutions for sensitising the teams as well as other suitable preventative and interventional measures. These may include information materials, contact addresses, training/education, codes of conduct, recommendations for action/intervention plans or comprehensive protection concepts.
Training of employees on AMTS related topics
Possibility of electronic prescription i.e. structured entry of active substances (or name of the preparation), form, dose, dose frequency (e.g. in the HIS, in prescription software)
Provision of one or more electronic drug information systems (e.g. Lauer-Taxe®, ifap klinikCenter®, Gelbe Liste®, Fachinfo-Service®)
Electronic documentation of the administration of drugs
FL01 - Lectureships / teaching posts at colleges and universities
Die theoretische Ausbildung erfolgt in der Verbundschule für Gesundheits- und Pflegeberufe der Marienhaus Kliniken GmbH im Saarland am Standort Lebach. Ausbildungsberuf Pflegeassistenz (Saarland)
HB03 - Physical therapist / physiotherapist (m/f)
Die theoretische Ausbildung erfolgt in der Verbundschule für Gesundheits- und Pflegeberufe der Marienhaus Kliniken GmbH im Saarland am Standort Lebach.
Einsatz Psychiatrie / Praktisches Semester / ggf. Examen / Bildungsstätte für Sozialwesen Birkenfeld
HB12 - Medical technical laboratory assistant (MTLA) (m/f)
Die theoretische Ausbildung erfolgt im "Rheinisches Bildungszentrum für Berufe im Gesundheitswesen der Marienhauskliniken GmbH"
Hermann Lissmann
Patientenfürsprecher
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-01
Mail:
ed.suahneiram@dnw.ofni
Nina Cullmann
Krankenhausoberin
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-1200
Mail:
ed.suahneiram@nnamlluc.anin
Dominik Schmitt
Qualitätsmanagementbeauftragter
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-2045
Mail:
ed.suahneiram@ttimhcs.kinimod
Nina Cullmann
Krankenhausoberin
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-1204
Mail:
ed.suahneiram@nnamlluc.anin
Phone:
06851-59-01
Mail:
ed.suahneiram@dnw.ofni
Nicole Busch
Pflegedirektorin
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-1204
Mail:
ed.suahneiram@hcsub.elocin
Thorsten Kopp
Kaufmännischer Direktor / Geschäftsführer
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-1201
Mail:
ed.suahneiram@ppok.netsroht
Nina Cullmann
Krankenhausoberin
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-1200
Mail:
ed.suahneiram@nnamlluc.anin
Lucas Merschbächer
Kaufmännischer Direktor
Am Hirschberg 1a
66606 St. Wendel
Phone:
06851
-59-1202
Mail:
ed.suahneiram@rehceabhcsrem.sacul
Dr. Ernst Konrad
Ärztlicher Direktor
Am Hirschberg 1a
66606 St. Wendel
Phone:
06821
-363-2992
Mail:
ed.suahneiram@darnok.tsnre
IK: 261000422
Location number: 772400000
Certified until: 12.2025
Certified until: 05.2026
Certified until: 02.2026
Certified until: 12.2026
Certified until: 06.2027
Certified until: 03.2027
Certified until: 10.2027
Certified until: 05.2028
Certified until: 10.2028
Certified until: 03.2027
Certified until: 12.2028
Certified until: 12.2028
Certified until: 12.2026
Certified until: 10.2026