Hygiene

Patrick Debbelt

Ärztlicher Direktor

Frönsberger Straße 71
58675 Hemer

Phone: 02372 -861-9275
Mail: gro.lwl@tlebbed.kcirtap

A hygiene officer has not been established

Hygiene commission established
Conference frequency: quartalsweise

Contact person

Patrick Debbelt

Ärztlicher Direktor

Frönsberger Straße 71
58675 Hemer

Phone: 02372 -861-9275
Mail: gro.lwl@tlebbed.kcirtap

Hospital hygienists (m/f) 1 externer Krankenhaushygieniker
Doctors’ hygiene officer 1
Hygiene specialists 2
Hygiene officers in nursing care 25

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 No
The standard was authorised by management or the hygiene commission No
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) No
Indication for antibiotic prophylaxis {0}Yes|{1}No|{2}Partly
Antibiotics to be used (taking into account the expected germ spectrum and the local/regional resistance situation) {0}Yes|{1}No|{2}Partly
Time/duration of antibiotic prophylaxis {0}Yes|{1}No|{2}Partly
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 15,00 ml
Hand disinfectant consumption is recorded on a ward-specific basis. Yes
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. no
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). no
There is a risk-adapted admission screening based on the current RKI recommendations. No
There are regular and structured training courses for employees on how to deal with patients populated by MRSA / MRE / Noro viruses. Partly
No. Instrument or measure
HM09

Training of employees on hygiene-related topics

Frequency : monatlich