Hygiene
Stefan-Maria Bartusch
Ärztlicher Direktor
Rohdehof 3
30853 Langenhagen
Phone:
0511
-7300-501
Fax: 0511-7300-518
Mail:
ed.hrk@hcsutrab.nafets
A hygiene officer has not been established
Hygiene commission established
Conference frequency: halbjährlich
Contact person
Stefan-Maria Bartusch
Ärztlicher Direktor
Rohdehof 3
30853 Langenhagen
Phone:
0511
-7300-501
Fax: 0511-7300-518
Mail:
ed.hrk@hcsutrab.nafets
| Hospital hygienists (m/f) | 1 | Direktor des IMK, Dr. U. Mai, mit entsprechenden Stellenanteilen |
| Doctors’ hygiene officer | 1 | |
| Hygiene specialists | 1 | mit 0.25 VK zusammen mit Psychiatrie Langenhagen |
| Hygiene officers in nursing care | 1 |
No CVC (central venous catheter) inserted
No operations performed
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 | 3,79 ml |
| 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 |
|---|---|
| HM01 |
Publicly available reporting on infection rates Krankenhausspiegel Hannover; SGB V,§37 |
| HM03 |
Participation in other regional, national or international networks for the prevention of nosocomial infections Region Hannover MRSA- PLus Netzwerk Region Hannover |
| HM04 |
Participation in the (voluntary) “Clean Hands Initiative” (CHI) Internes Konzept: QZ Händehygiene seit 2007 Teilnahme (ohne Zertifikat) |
| HM05 |
Annual inspection of the preparation and sterilisation of medical devices Findet analog der gesetzlichen und intern festgelegten Verfahren statt |
| HM09 |
Training of employees on hygiene-related topics Finden mindestens jährlich und bei Bedarf statt |