Hygiene

Stephan M. Freys

Chefarzt


28221 Bremen

Phone: 0421 -6102-1101
Fax: 0421-6102-1129
Mail: ed.nemerb-okaid@eigrurihc

A hygiene officer has not been established

Hygiene commission established
Conference frequency: halbjährlich

Contact person

Stephan M. Freys

Chefarzt


28221 Bremen

Phone: 0421 -6102-1101
Fax: 0421-6102-1129
Mail: ed.nemerb-okaid@eigrurihc

Hospital hygienists (m/f) 2 In jeder bettenführenden Fachabteilung gibt es Hygienebeauftragte Ärzte (mit Stellvertreterregelung). Alle Hygienebeauftragten Ärzte sind Mitglied der Hygienekommission des Krankenhauses.
Doctors’ hygiene officer 12
Hygiene specialists 3 Die leitende HFK ist regional u.a. im Bremer MRSA-Netzwerk engagiert. Alle Hygienefachkräfte sind Mitglieder der Hygienekommission und arbeiten eng mit dem Krankenhaushygieniker und den hygienebeauftragten Ärzten und Hygienebeauftragten in Pflege, Diagnostik und Therapie zusammen.
Hygiene officers in nursing care 30 Hygienefachkräfte führen jährlich Auffrischungsschulungen für ausgebildete Hygienebeauftragte in Pflege, Diagnostik und Therapie durch.
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
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
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 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 104,00 ml
Hand disinfectant consumption on all general stations 35,90 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
HM01

Publicly available reporting on infection rates

http://Bremerkrankenhausspiegel.de

HM02

Participation in the Hospital Infection Surveillance System (HISS) of the National Reference Centre for Surveillance of Nosocomial Infections

Seit Einführung beteiligt sich das DIAKO am KISS, erfasst und übermittelt Hygienedaten gemäß Vorgaben des Nationalen Referenzzentrums für Surveillance. Weiterhin beteiligt sich das DIAKO am MRE-KISS und ITS-KISS.

  • CDAD-KISS
  • HAND-KISS
  • MRSA-KISS
  • OP-KISS
HM03

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

MRE-Netzwerk Land Bremen

HM04

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

Auszeichnung mit dem Zertifikat in Bronze für die Jahre 2021/2022

Zertifikat Bronze

HM05

Annual inspection of the preparation and sterilisation of medical devices

Jährliche Validierung der Reinigungs- und Desinfektionsgeräte und der Sterilisatoren.

HM09

Training of employees on hygiene-related topics

Jährliche verpflichtende vor-Ort-Schulungen in den Kliniken für ärztliches und Pflegepersonal nach festem Schulungsplan und unter Berücksichtigung aktueller Hygienethemen. Ergänzend Einführung von verpflichtenden Hygienemodulen als eLearning-Format.