Hygiene

Wolfgang Schmidt-Barzynski

Ärztlicher Direktor

Teutoburger Str. 50
33604 Bielefeld

Phone: 0521 -581-8700
Fax: 0521-581-8799
Mail: ed.dlefeleibmukinilk@ofni

A hygiene officer has not been established

Hygiene commission established
Conference frequency: quartalsweise

Contact person

Wolfgang Schmidt-Barzynski

Ärztlicher Direktor

Teutoburger Str. 50
33604 Bielefeld

Phone: 0521 -581-8700
Fax: 0521-581-8799
Mail: ed.dlefeleibmukinilk@ofni

Hospital hygienists (m/f) 1 Der Einsatz erfolgt standortübergreifend, für das Klinikum Bielefeld gesamt 1 Krankenhaushygieniker
Doctors’ hygiene officer 10
Hygiene specialists 2 Der Einsatz erfolgt standortübergreifend. In der Summe sind 3 Hygienefachkräfte beschäftigt. Zusätzlich 1 Hygienetechniker
Hygiene officers in nursing care 19
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 Yes
Mouth and nose protection Yes
Sterile drape Yes
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 Nein
The internal standard has been authorised by management or the Drug Commission or the Hygiene Commission No
Hygienic hand disinfection (before, if necessary during and after dressing changes) {0}Yes|{1}No|{2}Partly
Dressing changes under aseptic conditions (application of aseptic working techniques, no-touch technique, sterile disposable gloves) {0}Yes|{1}No|{2}Partly
Antiseptic treatment of infected wounds {0}Yes|{1}No|{2}Partly
Checking the further necessity of a sterile wound dressing {0}Yes|{1}No|{2}Partly
Doctor notification and documentation if a postoperative wound infection is suspected {0}Yes|{1}No|{2}Partly
Hand disinfection (ml / patient day)
Hand disinfectant consumption in all intensive care units 84,00 ml
Hand disinfectant consumption on all general stations 26,00 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. 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)

Zertifikat Bronze

HM05

Annual inspection of the preparation and sterilisation of medical devices

Alle Geräte zur Aufbereitung von Medizinprodukten werden jährlich einer technischen Wartung zugeführt, zusätzlich erfolgt anschließend eine Validierung durch ein externes Hygienelabor.

HM09

Training of employees on hygiene-related topics

Es werden durch die Mitarbeiter der Klinikhygiene Schulungen für alle Mitarbeitergruppen angeboten.