Welcome...

to the Asklepios Klinik Barmbek 2 We have avoided mentioning both genders explicitly in this brochure to aid clear comprehension. Naturally, where one gender is mentioned, both are intended. Together for health

Asklepiosis the only large German hospital group that also has an international presence. The family company is owned by a sole shareholder who has, since the company was founded more than 25 years ago, consistently reinvested the profits in the hospitals rather than taking any dividend payouts. The shareholder has also set up each facility for non-profit involvement in prevention work, especially in schools but also for adults. The group is responsible for more than 100 facilities and roughly 44,000 staff in Germany alone. Almost 2 million patients trust the clinic group with their health each year. The chain of clinics has entered into the voluntary commitment to cap the number of agency workers within the group at three percent. In Germany, every 40th baby is born in one of the Asklepios hospitals between Sylt and Lindau on Lake Constance. Asklepios runs the Deutsche Kinderherzzentrum in St. Augustin, and is also responsible for almost one third of all psychiatric units in former East Germany and several facilities in forensic psychiatry.

Asklepios Kliniken Hamburg GmbH is Europe's largest cluster of clinics at one location, covering almost every medical discipline, ranging from ophthalmology to dentistry. In Hamburg alone, Asklepios employs a workforce of almost 13,000 on all levels of qualification (including roughly 1,800 doctors); providing 1,400 trainee positions, it is the largest training centre and, measured in terms of workforce, the largest private-sector employer in the city. In the Hanseatic City, Asklepios Kliniken treat every second hospital patient, hence accounting for 50 percent more inpatients than the Berliner Charité, Germany and Europe's largest university clinic. Two of four newborn Hanseatic citizens enter this world in one of the in total five Asklepios maternity wards in Hamburg. In MEDILYS GmbH, Asklepios operates one of Europe's largest clinic laboratories. Over ten million analyses and more than 18 million findings are handled here each year. Asklepios Kliniken in the Hamburg catchment area: Altona, Barmbek, Eimsbüttel (CardioClinic), Harburg, Klinikum Nord (Ochsenzoll/Heidberg), St. Georg, Wandsbek, Westklinikum Rissen, Bad Oldesloe, Ahrensburg, Bad Schwartau, Sylt.

3 As a tertiary care hospital, Asklepios Klinik Barmbek offers a broad range of conservative and surgical services. Each year, we treat over 35,000 inpatients and 40,000 outpatients in our new building, opened in 2005. The focus of our hospital is the treatment of emergencies and complex diseases. This is why we have an above-average propor- tion of intensive and intermediate care beds (20 % of the total beds). In this brochure, we would like to introduce you to our clinic, its specialist departments and centres, and provide you with an overview of the additional services we offer.

Table of contents

Foreword 6 Patient safety 8 Our mission statement 10

An overview of our specialist departments ■ Visceral Medicine Centre 13 ■ General Surgery 14 ■ Gastroenterology 15 ■ Oncology & Palliative Care 16 ■ MVZ Oncology and Psychotherapy 17 ■ Neontology 18 ■ Obstetrics and Prenatal Medicine 19 ■ Eye Centre 20 ■ Gynaecology, Gynaecological Oncology and Asklepios Breast Centre 21 ■ Cardiology 22 ■ Neurology 23 ■ Thorax Surgery 24 ■ Pneumology, Internal Medicine, Intensive Care and Weaning Centre 25 ■ Urology 26

4 ■ Nephrology, Dialysis, Diabetology 27 ■ Central Accident & Emergency 28 ■ Trauma & Reconstructive Surgery / Orthopaedics 29 ■ X-Ray Institute 30 ■ Anaesthesiology & Surgical Intensive Care 31 ■ Hospital Pharmacy 32

■ MEDILYS Laboratory 33

Our Nursing Managers 34 Nursing at Asklepios Klinik Barmbek 37 Case-Management / Social Service & Relatives Service 39 Speech & Language Therapy 40 Physiotherapy 41 Ethics Committee 42 Patient Advice & Liaison Service 43 Cooperation Partner 44 Quality at Asklepios Klinik Barmbek 45 Awards & Certificates 46 Training at Asklepios Klinik Barmbek 48 Medical Students at Asklepios Klinik Barmbek 50 Working at Asklepios Klinik Barmbek 51 A Hospital with a Long Tradition and a Vital Future 52 Prevention 54 Hospital Information 55 How to Find Us 64 Layout Map of Specialist Departments 65 Legal Notice 67

5 Dear Patients, Dear Visitors,

Most people see hospitals from a very personal perspective – because of personal Jan Glöer illness or that of a friend or relative. They often only see a particular department in Deputy Managing Director the hospital. A hospital, like almost no other company, combines different professions, nationalities and religions under one roof and lives cooperation like a small city within the city. The treatment process is at the centre of this cooperation – our hospital was designed and built around this with the aim of encouraging multiprofessional cooperation.

We continually strive to break down barriers for the well-being of you, our patients; barriers, for example, between professional groups like doctors and nurses or barriers between medical disciplines and departments.

We have created a very patient-friendly building with high comfort and the best con- ditions for good medicine. However, it is the people who work in a hospital that are most crucial for quality. Health is our most precious commodity, demanding highly professional behaviour and often personal dedication from our more than 1,300 staff Stefan Tefke at Asklepios Klinik Bamberg – always a challenging but also fulfilling task – for more Head of Technology – than 70,000 patients a year with their individual problems and histories. Purchasing – Logistics – IT

Dr Sebastian Wirtz Deputy Medical Director

6 Our aim is always to provide medical care of the highest level, whilst offering you the necessary human devotion during your difficult hospital stay. We work cost-effectively Hans-Friedrich Günther so that we are always in a position to make the investments necessary to maintain and Managing Director develop our treatment quality. Thus, economy and quality are not a contradiction – quite the reverse. This brochure will give you an up-to-date look at our hospital , our services and specialisms. Our hospital staff will be happy to help if you would like more information on a specific area. If you are pleased with us, then we like your praise. If you are not happy about some- thing, then we are grateful for your criticisms and suggestions to improve our quality. We have established a dedicated Patient Advice & Liaison Service for your conven- ience. (see p. 54)

In the name of all our staff we wish you an informative read and – if you come to us as a patient – a pleasant stay in our hospital and a good recovery!

Professor Peter Paul Urban Medical Director

Hans-Friedrich Günther Professor Peter Paul Urban Managing Director Medical Director

Axel Techam Nursing Director

7 Patient safety You can feel safe with us!

As a patient, you take the highest standards of quality and safety for granted. But for us it is a challenge to get even better and safer.

We operate with a so-called Critical Incident Reporting System (CIRS) in order to identify and prevent risks at the earliest date, before mistakes occur. Using this system, our staff in every department and professional group report critical incidents and any close shaves, subject them to systematic analysis and improve the processes involved in their work; this identifies and changes processes that are susceptible to mistakes. And it takes place continuously and sustainably. Furthermore, external experts conduct risk audits to regularly review all proc- esses of relevance to safety, for instance in the operating theatre, in obstetrics or in documentation and patient information.

The prevention of infection, and therefore hygiene, is among the most important topics relating to safety in any hospital. In MEDILYS Laboratories, a company within the Asklepios Group, we are able to draw on specifically trained physicians (hospital hygienists) and hygiene specialists (nursing staff), dedicated in our house exclusively to this task. In addition, specially trained doctors and nurses responsible for hygiene in each specialist department focus on the communication and implementation of all aspects of relevance to hygiene. Regular, compulsory train- ing for all of our staff responsible for dealing with patients and regular monitoring round off our procedure.

As member of the national campaign AKTION Saubere Hände (Clean Hands), we place particular emphasis on regular and thorough hand disinfection; after all, it is the simplest and most effective method to prevent the trans- mission of infection. In order to further minimise the risk of infection or transmission, all patients in our clinic with heightened risk as specified in the regulations issued by the Commission for Clinic Hygiene are examined by swab immediately upon admission. In the event that problematic germs are indeed located, we are in a position to offer rapid assistance and respond with suitable, comprehensive protective measures.

The second major topic in the field of patient safety is the prevention of mistaken identity. Patient wristbands, ex- tensive check lists and team time-outs, that is systematic reflection and review of all relevant information before an intervention, are our most important methods of excluding any case of mistaken identity. Our frequent enquiries as to your first and last names and your date of birth are not down to us being unaware; they represent one of our most important safety checks.

You can find additional information – among others on the topic of the safe provision of medication, preventing falls or technical safety – later on in this brochure and in our patient information leaflet 'You can feel safe with us'.

8 9 Our mission statement

We at Barmbek

■ Our tradition and an integrated position in the city and the area provide us with a community spirit as 'Bambekers'. ■ Working together for our patients connects us.

We as employees

■ We are highly motivated and responsible in taking care of our patients. ■ Reliability and commitment connect us with our patients and each other in friendly, open and honest dealings. ■ We can handle conflict, because we take criticism constructively. ■ This is the basis of our mutual esteem. ■ We are proud of this.

Our medicine

■ Our professional ethics are based on respect for human dignity and the rights of our patients, compassion for the sick and the desire to achieve high professional standards. ■ Our success is the result of cooperation between all the professional groups working in our hospital. ■ Our competency as in an academic teaching hospital is based on dedication and excellent expertise, drawing on the application of cutting.edge technologies. ■ The variety of expertise and a positive attitude towards new challenges are the reasons for our willingness to usher in medical and scientific innovation.

10 Our organisation

■ Our ability and will to create an effective and efficient performance structure are the keys to commercial success. ■ Decision-making structures and responsibilities are transparent. ■ We create more scope for development for ourselves. We use the time this frees up for our patients, for education, further and advanced training and for our wellbeing. ■ We behave responsibly with our time and that of our colleagues. ■ We master our challenges with openness, honest communication and a willingness to accept conflict with adherence to agreed rules. ■ We all feel committed to our tasks within an integral scope. ■ Mutual appreciation is the reason for our strength in cooperating across the boundaries of professional groups, departments and hierarchies. ■ The insight gained in our work brings progress. In this, what we share with the Asklepios Kliniken is an important cornerstone of success within our own house.

We offer our patients

■ Respect, because we see them as people; ■ Compassion, because we know what it means to be ill; ■ Professional help, because we have learnt it; ■ The latest technology if you need it; ■ And we look after you, even if things get difficult.

11 12 Visceral Medicine Centre Practising interdisciplinary

The Visceral Medicine Centre aims to provide you with precisely tailored, jointly realised care for abdominal diseases. This includes precise diagnosis, all forms of medicinal, endoscopic, interventional, ultrasound, operative therapies, as well as modern oncological care. The departments of Gastroenterology & Hepatology, General & Visceral Surgery and Oncology & Pal- liative Care work hand in hand to achieve this standard.

To realise this interdepartmental care, we bundled our three specialist departments on the top floor of the hospital in 2009. In addition to the bed sections, all functional units, such as endoscopy (inspection), sonography (ultrasound), visceral medicine and the oncology outpatient unit, palliative care and the chief physician sections of the three associated clinics are located here.

As our patient, this bundling of expertise within one centre of- fers you concrete benefits: There are no distances to master, less waiting, organisationally laborious relocations are unnecessary and your discharge from the clinic is faster. All contacts are always there and plan your treatment with you – with the aim of facilitating the best possible recovery.

13 General Surgery Small incision, big result

The General & Visceral Surgery Department has a well-trained team of experienced surgeons to treat you. Our explicit goal is to treat you with the latest therapy concepts. Our broad operative spectrum covers the following organs and diseases: oesophagus and stomach, the whole small and large intestine incl. rectum, liver with gallbladder and biliary tract, pancreas, thyroid with parathyroid and adrenal glands, chronic inflam- matory gastric disease, all forms of abdominal, hiatus and inguinal hernias, and all other tumours of the abdomen.

Our experienced surgeons are often able to spare you a large abdominal incision, as we perform many procedures laparoscopically. Instruments are fed into the abdomen through small incisions for this procedure, which is known as an abdominoscopy. This means the patient has much less pain, a faster recovery and a shorter stay in hospital. Chief Physician: They also benefit from reduced scarring and, thus, a reduced risk of incisional hernia. Professor Karl J. Oldhafer Tel.: +49 (0)40 18 18-82 28 11 Our focus is on all large tumour surgery of the abdomen and the intestinal tract allgemeinchirurgie.barmbek@ including liver surgery. Our explicit aims are to remove the tumour and maintain asklepios.com or improve your quality of life. The possibilities for treatment are always increasing thanks to medical progress. We have set up special clinics for you to embrace this de- velopment. We also use highly specialised procedures to achieve optimum treatment success where necessary, such as computer-guided surgery planning. This enables us to prepare complicated liver operations using individual computer models. The optimum treatment strategy for your specific case is determined jointly at an interdis- ciplinary tumour conference attended by all important specialists.

By the way: An expression of our specialisation is the certification by German Cancer Society (DKG) as a gastric centre and pancreas carcinoma centre, and also the certification as competence centre for surgical diseases of the liver by German Society for General and Visceral Surgery (DGAV)

14 Gastroenterology A healthy middle

You are treated in our department if you are suffering from a disease of the oesopha- gus, stomach, the small or large intestine, the pancreas, the biliary tract or the liver. We use all state of the art examination procedures to ensure the best possible diagnosis and treatment for your disease.

Our experienced doctors perform all standard endoscopic examinations. This not only produces precise diagnoses, but also frequently spares you from a major surgical pro- cedure thanks to modern, minimally invasive treatment methods. For example, we can often remove benign polyps and cancers in the early stage during the endoscopy and can treat problems of the biliary and pancreatic system during the examination.

You can also rely on our department's expertise in sonograph examinations (ultra- Chief Physician: sound): As a reference centre for the German Society for Ultrasound in Medicine, we Priv.-Doz. Dr Siegbert Faiss work with state of the art equipment and can draw on a wealth of experience. The Tel.: +49 (0)40 18 18-82 38 11 combination of endoscopy and ultrasound – the endosonography – supplemented by gastroenterologie.barmbek@ our range of diagnostic and treatment services. We also have experienced experts in asklepios.com liver diseases, chronic-inflammatory gastric diseases and metabolic disorders.

As part of the Visceral Medicine Centre, we assist in offering you optimum interdisci- plinary care from one place for diseases of the abdomen.

By the way: since 2009, resp. 2011, together with the departments for General & Visceral Surgery and Oncology, we have been certified as a gastric, resp. pancreas centre by the German Cancer Society (DKG) and offer you controlled quality in care, early detection, diagnosis and treatment.

15 Oncology & Palliative Care In good hands

An experienced team in our department treats and cares for people suffering from cancer. It is our goal to achieve the best possible, individual therapy on the basis of a secure diagnosis. The broad spectrum of diagnostic options is available to each patient in order to discover malignant tumours at the earliest possible stage. This early diagnosis is the best weapon in fighting cancer. Joining with experts from other specialist departments, also GPs and consultant physicians, the therapeutic concepts for particular symptoms are discussed and bindingly resolved in the tumour boards held in the clinic.

We also operate a medical treatment centre in an oncological practice. This is where many forms of therapy can be administered to outpatients. This helps preserve a home Chief Physician: environment. Quality of life is in the focus of our attention at all times. Dr Axel Stang Tel.: +49 (0)40 18 18-82 38 31 The staff at the the integrated palliative care ward, in 1992 the first instance of pallia- [email protected] tive care established within a clinic in Germany, offer many years of experience and specific expertise. This permits the highest standards of palliative care. Joining with a network of hospices and inpatient and outpatient partners, we continue to look after people in this difficult period of life. Naturally, psychological and spiritual support is also available to every patient on request.

A special service offered within our department involves diagnostic and interventional sonography, expressed in the seminar leader function within the German Society for Ultrasound in Medicine (DEGUM). We use various cutting edge and conservative methods. They enable the diagnosis of unclear tumours in the abdomen and also risk- reduced removal of tissue samples by ultrasound navigation. The spectrum of services also includes the application of port catheters, ascites drain- age and ultrasound-targeted radio frequency ablation of tumours, liver tumours in particular.

By the way: The oncological department is a part of the visceral centre. Abdominal diseases can receive optimised care in this way, interdisciplinary and from one source.

16 MVZ oncology and psychotherapy Well cared for - comprehensively treated

You will find the medical care centre MVZ Onkologie Barmbek GmbH on the third floor of the clinic. As an im- portant element of our oncology centre, the primary task facing our medical care centre is outpatient support for persons suffering from cancer, frequently in the period following an inpatient treatment. Integration within the clinic helps us provide our patients with comprehensive inpatient and outpatient treatment from one source.

Our interdisciplinary team – consisting of consultant physicians, psychotherapists, specialist nursing staff and qualified medical experts – ensures that you feel well cared for and supported here with us. The spectrum of services mirrors our integral approach to treatment; in addition to diagnosis and therapy of haematological and oncological diseases, it covers tumour pain therapy just as much as primary psychosomatic care and socio-medical consulting. One focus of our medical care centre is to provide our patients with outpatient, psycho-oncological support.

We guide our patients throughout all phases of diagnosis and therapy, working hand in hand with the cooperat- ing practices and clinics. This means that all information concerning diagnosis, treatment and follow-up care runs together in our centre and is available at all times to the patients and attending physicians. Our consultant physi- cians attend meetings of the tumour board and coordinate treatment with experts from the other specialist fields (such as gastroenterology, pneumology, surgery, urology, gynaecology, radiology, radiation therapy and pathology). This ensures high-quality treatment and a rapid workflow, factors that are of great importance to the patients in this frequently stressful phase following diagnosis and discovery of the disease.

By ensuring integration within the clinic, we spare our patients the cumbersome transport and waiting, hence enabling the fastest possible response to each situation presented in the illness. In this, we are also in a position to draw on all diagnostic and therapeutic services for our outpatients also. Furthermore, a constant support person is available to our patients, providing a sure sense of security.

Please call the telephone number +49 (0)40 18 18-82 83 30 to arrange an appointment.

17 Neonatology Medicine at the start of life

In Neonatology we care for newborns with adjustment difficulties, health problems or development disorders and for premature and immature infants. Our team of specially trained paediatric nurses and paediatricians is on hand around the clock and right next to the delivery room if a newborn requires medical help.

In close cooperation with Prenatal Medicine, one focus of our department is the care of children in whom health problems were detected prior to birth. As a perinatal centre providing maximum care, we are also particularly prepared to look after very small, premature babies, and are ready to offer our wealth of experience to these most sensi- tive of tiny beings. We deploy our state of the art equipment in a targeted and most careful manner; we do this to provide our patients with security, but also the families Chief Physician: with joy, as they can, if they want, observe their babies online. It goes without saying Dr Reinhard Laux that in addition to this, we create an environment that fosters development, one that Tel: +49 (0)40 18 18-82 18 31 avoids bright light, loud and unnatural sounds and unpleasant environmental odours. [email protected] Our treatment concept is based on preventing illness, regulating impaired bodily func- tions and strengthening the child's own capacities. Contact with parents is particularly important – we encourage you to be with your child as often as possible. The health- care assistant responsible for your child will be happy to show you how you can also be there for your child in the hospital!

By the way: we offer an aftercare clinic for particularly small children. This means you can still get advice from us after hospital discharge and we welcome the chance to see your child's development.

18 Obstetrics & Prenatal Medicine Welcome to life!

We welcome the trust of being able to support your child on its start in life and are happy to be there for you before, during and after the birth. As a primary perinatal centre and one of the largest maternity hospitals in Germany, we offer you maximum expertise and safety, alongside high comfort.

You will be in good hands in our Prenatal unit if you are concerned you child might not be healthy. We can exclude diseases in your unborn child here and, if necessary, give medical treatment in utero. We also provide comprehensive and expert care for pregnancy complications and high-risk pregnancies.

We have eight delivery rooms with all devices and relaxation materials. Whether wa- ter birth or gentle caesarean – we try to give you the birth you want. With a complica- Chief Physician: tion-free pregnancy you can choose to give birth naturally in the midwife-led delivery Univ.-Doz. Dr Peter Schwärzler room. Of course, we offer homoeopathy, aromatherapy, acupuncture and special Tel: +49 (0)40 18 18-82 18 41 obstetric pain management. And if complications do arise, we have all the options of [email protected] modern medicine to handle this.

After the birth, we offer you a relaxing and secure environment, where midwives and gynaecologists, paediatric nurses and paediatricians are available around the clock. You are looked after with your baby and you can choose to care for your baby around the clock in your own room (24-hour rooming-in). Pleasant accommodation is assured in our modern one and two-bed rooms – a family member or the father and/or siblings can stay over with you if desired.

By the way: future big brothers and sisters can earn a "Sibling Diploma" with us, which prepares them in a playful way for the unfamiliar situation with the new baby in the house.

19 Eye Centre For the right perspective

Our Eye Centre is one of the largest in northern Germany and covers the whole range of surgical and conserva- tive ophthalmology – you are in good hands with us for all medical issues of the eye. Our modern diagnostic unit offers all examination methods for the retina, cornea, lens, iris, conjunctiva, sclera and vitreous.

In addition to conservative treatments, we can also use a broad range of modern surgical procedures to treat your disease. For instance, we draw on a wealth of experience in operations on cataracts and glaucoma, Chief Physician: perform complete or partial (lamellar) cornea trans- Priv.-Doz. Dr Ulrich Schaudig plants and employ modern and minimally invasive Tel.: +49 (0)40 18 18-82 28 31 techniques in retina and vitreous operations. [email protected] Another focus with particular expertise: plastic-reconstructive and cosmetic surgery on the eye, tear ducts and eye socket. We offer surgery on the lids and the whole eye area (eyebrows, forehead, cheeks) and special reconstruction after injuries and tumour treatment and for facial palsy. Surgery on the eye socket, particularly reconstruction after removal of the eye, as well as general diagnosis and special surgery on the tear ducts (with endoscopy), complete this field. Our broad range of services also includes strabismus treatment and paediatric ophthalmology, examination of premature infants, treatment of age-related macular degeneration, as well as laser treatments for retinal disease.

By the way: together with two other Asklepios hospitals, we provide emergency ophthalmology procedures for the Hamburg area – our emergency outpatient unit is open around the clock for you.

20 Gynaecology, Gynaecological Oncology and Breast Centre Specialists for women

You will find skilled and experienced contacts in our Gynaecology Department who handle all health issues that are particular to women. We offer you all conservative and operative procedures to ensure safe and preservative treatment of all benign and malignant diseases of the breast or the lower abdomen. In this, we proceed in accord- ance with the guidelines issued by the German Society for Gynaecology and Obstetrics and pay attention to the most recent developments in medical insight.

Our close cooperation with other specialist departments such as visceral surgery, urology and oncology enables us to provide quick and accurate responses to interdis- ciplinary questions. We offer minimally invasive operation procedures and perform laparoscopic, investigative interventions in the event of a desire to have children, chronic pain of the lower abdomen and endometriosis. Chief Physician: We treat all malignant diseases of the female genitals. You can be sure of being in good Univ.-Doz. Dr Peter Schwärzler hands with sensitive issues like female incontinence, pelvic prolapse, bladder prob- Tel: +49 (0)40 18 18-82 18 41 lems and sexual intercourse problems. [email protected]

For years now, our breast centre has been certified by the German Cancer Society and the German Society for Senology. Here you will benefit from the outstanding interdisciplinary cooperation of recognised specialists such as specially trained breast surgeons, radiologists, oncologists, radiotherapists, plastic surgeons, psycho-oncolo- gists and social workers. We offer the entire range of breast-conservation and ablative treatment and also reconstructive and plastic-aesthetic interventions for breast recon- struction with implants or own-body tissue. You will be looked after by our breast care nurses for the entire duration of your stay in the clinic; they will provide you with information, coordinate appointments and make contacts on your behalf.

Furthermore, cooperating with a consulting physician for plastic surgery, we offer in our clinic all reconstructive and plastic-aesthetic operations on the breast, for instance breast reconstruction with implants or own-body tissue, correction of deformations of the breast, breast reduction and enlargement and also lifting. We also perform abdomi- nal wall plastic surgery, gender reassignments, corrections of the labia and scar correc- tions.

By the way: all patients suffering from breast cancer receive a very special courtesy: heart-shaped pillows – produced by voluntary seamstresses here in Hamburg – help ease the wound pain following operations

21 Cardiology An affair of the heart

You are in the best hands in our Cardiology Department for diseases of the cardiovas- cular system, the supplying vessels and all internal concomitant diseases. We use the latest procedures and medical technology – but our focus is on you as a person and patient.

We offer all modern procedures for a comprehensive initial diagnosis if you are sus- pected of having a circulatory disturbance of the heart (angina pectoris), cardiac insuf- ficiency or tachycardia. We also use safe and gentle techniques to diagnose restric- tions of the coronary blood vessels and heart valve problems. We can treat restricted coronary blood vessels directly in our heart catheter lab using balloon dilation and a stent. This means our specialists are able to spare many patients from having a bypass Chief Physician: operation. Today, even open connections between the atria of the heart can be closed Priv.-Doz. Dr Gerian Grönefeld using catheter procedures. The latest methods enable us to make these procedures as Tel: +49 (0)40 18 18-82 48 11 gentle as possible. Our department can also offer you expert care if you need implan- [email protected] tation and monitoring of pacemakers or implantable event recorders and defibrilators.

In the event of acute emergencies, we offer you optimum care in our Coronary Care Unit (CCU), established in 2010: This is where you will receive the greatest possible security as a patient suffering from heart attack, shock or life-threatening arrhythmia, receiving 24-hour medical care and monitoring in close cooperation with central acci- dent & emergency.

By the way: our services also include various ultrasound and x-ray procedures, pressure wire measurement of the coronary blood vessels, stem cell therapies and mechanical circulatory support.

22 Neurology Affected nerves

Our Neurology Department is very experienced in the treatment of all diseases of the nervous system and works closely with professional associations and competence networks.

A stroke is one of the most widely-known neurological diseases. Strokes are always emergencies – skilled and fast diagnosis and treatment improve the chances of healing and rehabilitation. Therefore, we treat our acute and early rehabilitation patients in a dedicated, highly specialised unit, the certified National Stroke Unit. The patient receives fast and comprehensive diagnosis followed by an individual treatment plan, incorporating the whole interdisciplinary team of neurologists, neuroradiologists, nurses, speech therapists, physiotherapists and neuropsychologists. Intensive and continual monitoring of physical functions offers additional security. Chief Physician: With Parkinson's disease, our focus is on early diagnosis and optimum treatment of all Professor Peter Paul Urban motor and non-motor aspects of the clinical picture to improve your quality of life. In Tel: +49 (0)40 18 18-82 38 41 addition to medication, physiotherapy, speech therapy, ergotherapy, muscle therapy [email protected] and nursing, so-called 'multimodel complex treatment' plays an essential role in the comprehensive treatment concept.

Furthermore, we treat all forms of dementia and also offer neuropsychological diagno- sis procedures for early recognition and classification in suspected cases. Diagnosing reliably and improving your quality of life through symptom-oriented treatment is also our primary aim in multiple sclerosis cases. As a member of the Muscle Centre Hamburg, we also offer expert support for neuromuscular diseases. You can also seek treatment for dizziness complaints in our hospital.

By the way: we offer special clinics for all symptoms as part of the pre-admissions diagnosis. We are happy to answer any organisational queries or make appoint- ments for you.

23 Thorax surgery More air for life

Thorax surgery is understood to be the operative treatment of all congenital and acquired diseases of the lung, the the pleura, the thoracic wall and the mediastinum region. The treatment of tumour diseases, in particular lung cancer, is in the main focus of oncological treatment. The surgical treatment of lung metastases, which today provides many tumour patients with a decisive therapeutic benefit, is also of particular importance. Cutting edge technology is used here, including laser surgery.

We also offer an expert surgical treatment in the event of diseases to the pleura, the mediastinum, central diseases of the airways and when the lungs, ribcage and airways - for instance the trachea or the bronchia - have been injured in accidents (thorax traumatology). Chief Physician: Dr Klaus D. Diemel Our thorax surgery covers a comprehensive spectrum of operations. In addition to Tel.: +49 (0)40 18 18-82 48 01 open thorax surgery by opening the ribcage, approx. one third of all operations are [email protected] conducted in a minimal-invasive fashion using so-called 'keyhole technology'. In individual cases, this is even possible for lung cancer operations, for instance as VATS lobectomy or on tumours of the thymoma.

The best possible therapies for the patients are defined and implemented as soon as possible in weekly conferences (tumour boards), drawing on the specialist disciplines of thorax surgery, pneumology, pathology, oncology, radiation therapy and radiology. In this, given that modern cancer treatment has assumed an increasingly multimodal structure, we consider the latest scientific studies and consequently install two or three treatment teams from different departments, working hand in hand.

By the way: we cooperate with the Clinic for Pneumology and the Intensive Care Unit to form an integrated Lung Centre so as to treat our patients with holistic 'pulmonary Chief Physician: medicine', and not just surgery. Dr Jörn Halberstadt Tel.: +49 (0)40 18 18-82 48 01 [email protected]

24 Pneumology, Internal Intensive Care and Weaning Centre Take a deep breath

We strive to offer patients the best possible care and combine the latest investigatory and treatment procedures with human care and a trusting approach. In pneumology, we specialise in diagnosis and treatment of all lung diseases: constriction of the respira- tory passages (asthma bronchial or chronic obstructive lung diseases), pneumonia, tumours of the lungs and pleura, lung fibrosis, sleep-related breathing disorders and acute or chronic respiratory failure. We offer all modern diagnostic procedures to resolve your complaint, such as lung endoscopy, thorax/pleura including ultrasound in the bronchia (endobronchial ultrasound), complete lung function diagnosis, ultra- sound of the heart and pleura, spirometry (respiratory gas measurement) and sleep lab investigation. We treat patients with tumours of the lungs and pleura in close coopera- tion with our partners from Lung Surgery and Oncology. Chief Physician: Critically ill patients are treated in close cooperation with the other specialist depart- Professor Heinrich Becker ments in our hospital on our internal medicine intensive care ward. Our team uses all Tel: +49 (0)40 18 18-82 48 01 diagnostic and treatment procedures in modern intensive care. We also have special [email protected] expertise in invasive and non-invasive mechanical respiration. Weaning (respiratory weaning) is a particular focus of our department. We can give long-term respiratory patients a good chance of complete respiratory weaning. An experienced expert team of pneumologists and internists, intensive care nurses, physiotherapists and social workers are on hand for these complex treatments.

The sleep lab is another particular focus of our department. Many patients often suffer unknowingly from breathing problems during sleep. Tiredness and sleepiness during the day are the most frequent consequences by those affected. Without treatment this can lead to illnesses such as high blood pressure, heart attacks or strokes. There is usually a breathing disorder during sleep even for chronic respiratory failure as part of muscular disease or COPD. These illnesses can be investigated in detail in our sleep lab and can be successfully treated in most cases.

By the way: our Weaning Centre was expanded in 2009 and now has more than 20 treatment places for respiratory support weaning.

25 Urology Much more then men's medicine

Our hospital can help with all issues in the urological field, i.e. diseases of the adrenal glands, kidneys, ureter, bladder, urethra, prostate, testicles and penis.

Our hospital has all modern urological diagnostic procedures to get to the bottom of your disease. This is vitally important as early diagnosis enormously increases the chance of a cure for many diseases.

In addition to conservative (non-surgical) treatments, we can also offer all minimally invasive and open-surgery procedures for safe and lasting treatment. Our hospital is particularly well-known for various gentle laser procedures. Operative therapy of cancer, tumour surgery, is among the main focuses of our department: we draw on Chief Physician: a wealth of experience in the treatment of renal cell, renal pelvis, ureter and bladder Professor Andreas Gross carcinoma and also testicular cancer. Tel.: +49 (0)40 18 18-82 98 21 [email protected] In particular, whenever possible, we perform conservative operative procedures on the kidney when treating renal tumours. We are a centre of minimal-invasive (laparo- scopic) partial nephrectomies. Larger tumours of the kidney can also be operated on without removing the organ. In the therapy of bladder carcinoma, we offer modern, pho- todynamic methods for the diagnosis and treatment of superficial bladder carcinoma and therefore possess particular expertise in radical bladder removal and subsequent bladder replacement for invasive tumours.

In addition to all modern surgical procedures for the treatment of prostate cancer, as a large centre we also offer the very gentle HIFU treatment, which uses heat produced by high-intensity focused ultrasound to kill the prostate tissue without affecting the surrounding tissue.

We treat kidney, ureter, and bladder stones with the latest procedures. You are also in good hands with us when facing the sensitive issue of incontinence: we cater to your needs in the Continence Centre, aided by gynaecologists, surgeons and neurologists. One procedure established by our Department is scleroptherapy of testicular varicose veins. Numerous certifications (GIH - Society for Incontinence Assistance, European Board of Urology and World Congress of Endourology) confirm the high treatment quality of our department.

By the way: urology is not a discipline "just" for men's health. Approx. 25 % of our patients are women with health problems of the uriniparous and uriniferous organs.

26 Nephrology, Dialysis, Diabetology Networked specialists

Treatment of kidney diseases, diabetes and diagnosis and treatment of high blood pressure and its consequences are the focus of our department. We look after the function of initial dialysis if you need dialysis and a stay in hospital – regardless of whether you are a haemodialysis (blood purification) or peritoneal (abdominal mem- brane) dialysis patient. We also treat patients with kidney failure on our intensive care ward. We are also very experienced in dealing with dialysis access problems. Cooper- ating with surgery and radiology, we perform all manners of dialysis access operations in our Shunt Centre Hamburg.

We also offer the whole range of modern nephrological investigatory and treatment methods. We can use ultrasound to view vascular pathways to resolve the issue of a vascular connector for dialysis or blood flow restriction to the kidneys. We use special Chief Physician: investigations of the urine to determine, amongst other things, the source of bleeding Priv-Doz. Dr Karl Wagner in the event of blood in the urine. Our services also include plasma separation therapy Tel.: +49 (0)40 18 18-82 98 38 01 (blood protein replacement). [email protected]

For diabetes, it is important to us that you as the patient or relative have the fullest possible understanding of the disease. We would like to use our years of experience and individual counselling to help improve your quality of life. We work closely with ophthalmologists, vascular surgeons, radiologists and neurologists to treat diabetes complications and offer specialist psychological counselling. Our nutritional counsel- ling tells you everything you need to know to deal with diabetes.

By the way: we can now also offer comprehensive advice on diabetes and renal diseases in pregnancy.

27 Central Accident & Emergency On the go for you round the clock

You will always be in good hands in our Central Accident & Emergency Department (A&E) – 365 days a year, 24 hours a day. Doctors from all specialist disciplines are at work for you here round the clock: our teams, each of which has an interdisciplinary structure, use their wealth of experience and expertise to deal with medical emer- gencies, injuries and diseases of all kinds. Thus, patients with complex diseases like strokes and heart attacks or serious injuries can also be sure that they will receive the best medical and nursing care.

Speed is often one of the most important factors – and thanks to our globally recog- nised grading system (Manchester Triage) you can always be sure that our help will go first to those who need it most. The layout of our A&E contributes to the safety and Chief Physician: quality of care: located directly adjacent to the main clinic entrance, we are perfectly Uwe Tuleweit accessible for emergency services and patients transported by private vehicle. Special Tel.: +49 (0)40 18 18-82 91 00 examination rooms and short distances to operating theatres, the X-Ray Department [email protected] and intensive care wards, also guarantee fast response times and smooth processes.

So you as a patient in our A&E will always receive the best care and feel safe – wheth- er it is a large or small emergency, occupational or private accident.

By the way: our hospital is also served by air ambulances. The landing pad on the roof of the hospital (truly our own airport) is directly connected to A&E via a dedi- cated lift.

28 Trauma and Reconstructive Surgery /Orthopaedics Back on your feet quickly

Our Trauma & Reconstructive Surgery/ Orthopaedics Department provides expert assistance for all bone and joint problems. We treat injuries to the musculoskeletal system, such as bone fractures, misalign- ments and sports injuries like tendon tears, with great experience and tailored to your needs. In addition to surgical osteosynthe- sis procedures to mend bone fractures, we also perform autologous bone grafts where needed – repairs with your own bone mate- rial – or modern bone substitute material. Chief Physician: Dr Ralf Gütschow Our department is also very experienced Tel.: +49 (0)40 18 18-82 28 21 at surgical procedures on the major joints. [email protected] We treat knee and shoulder joints arthro- scopically – through a tiny incision with "keyhole technology" – and perform, for example, cruciate ligament replacement and meniscus operations, or restore joint function after cartilage defects or tearing. We strive to keep your post-operative pain as low as possible by using individually tai- lored anaesthesia and specially trained pain therapists, and to facilitate fast rehabilita- tion for you. The third large component of our services are joint replacement opera- tions (endoprosthesis) to the shoulder, ankle, knee and hip joints.

By the way: our department is fully authorised to treat occupational accidents under the German health insurance regulations.

29 X-Ray Institute We see clearly

We use various imaging techniques in our X-Ray Institute to detect abnormal changes in the body, localise them or control their spread, thus offering you or your doctor se- curity of diagnosis and associated treatment. For example, our staff can create images of the brain, ribcage, skeletal system or even the whole torso using modern multislice computer tomography (CT) or magnetic resonance imaging (MRI 1.5 I and 3 I). We use the latest equipment in our department so that we get top-quality images despite short examination times and, at the same time, you are only exposed to minimal radia- tion, so we can use this for prevention and aftercare without worrying. Some proce- dures, for example MRI (also known as nuclear spin tomography), cause no radiation exposure at all.

Chief Physician: Our institute focuses on diagnostic and interventional neuroradiology, dealing with Professor Roland Brüning changes in the nervous system, breast diagnostics by mammography, sonography and Tel.: +49 (0)40 18 18-82 98 11 MRT, and with radiological intervention and minimal-invasive vascular interventions. [email protected] We also provide minimally invasive treatment for angiological (affecting the blood vessels) diseases, such as carotid stenosis, haemorrhage or peripheral arterial disease (PAD) and offer CT and MRI-guided oncology therapies, such as radiofrequency abla- tion (RFA) or transarterial chemoembolisation (TACE) and pain therapy procedures, in the treatment of cancers.

Various current certifications (for example, within the Breast Centre, the Gastro Centre and the National Stroke Unit) demonstrate the high treatment quality in our depart- ment.

By the way: our modern patient archiving and communication system (PACS) fa- cilitates fast data (images and findings) access on all hospital wards, so that you can receive the best treatment quickly in our hospital. Of course, we observe data pro- tection regulations. We are happy to give you a CD of your personal data on request.

30 Anaesthesiology & Surgical Intensive Care Painless? But safe!

Our anaesthetists ensure safe and gentle anaesthesia if you have to undergo a surgical procedure. Naturally, we adhere to the highest safety standards in our modern operat- ing theatres and monitoring areas. Our goal is to facilitate a recovery that is as painless as possible for the patient and to optimise surgical success.

We determine the best anaesthesia for you together after examination and taking previous findings into account in our anaesthesia clinic/pre-medication outpatient unit. We answer all your questions about the anaesthesia here and discuss various op- tions for effective pain treatment after the operation. Our extremely well-trained pain therapists take care of you after surgery.

If you require intensive medical and nursing care because of more serious surgery or Chief Physician: pre-existing conditions, then you are in the best hands on our surgical intensive care Dr Sebastian Wirtz ward. All the modern technical options of intensive care are at our disposal if required. Tel.: +49 (0)40 18 18-82 98 01 First and foremost, however, our experienced intensive care doctors and nurses [email protected] provide you with comprehensive care and are also happy to help your relatives if they need advice.

Treatment of emergencies is also among the tasks handled in our department: accord- ingly, our department assumes the role of medical management for the ambulance vehicles deployed at our clinic. We have also set up a fast and secure network in our hospital so that we are ready for emergency cases at any time.

By the way: we are also there for you during childbirth, as it is part and parcel of our everyday work to provide peridural anaesthetics (PDA) in order to treat birth pains.

31 Hospital Pharmacy Individual security and quality

On a daily basis, the hospital pharmacy at Asklepios Kliniken Hamburg supplies many other hospitals with standard medications and in-house productions tailored to the patients.

As the on-site pharmacy at the Asklepios Klinik Barmbek, we work hand-in-hand with doctors and nurses to supply our patients with the right medication. We visit the wards during the pharmaceutical rounds on a daily basis in order to deliver patient- centric provision of medication, complementing the work of the attending physicians and checking the medical therapy, for instance for side-effects and interactions and to tailor the treatment to suit the individual needs of the patient. Our pharmacists are also happy to answer any questions patients may have. Team Management Pharmacy Centre: Anna Hinnerkort In this, our unit-dose system provides particular safety: unlike in most hospitals in Tel.: +49 (0)40 18 18-82 -64 72 Germany, medication in the Asklepios Klinik Barmbek is put together individually for [email protected] each patient in the clinic pharmacy on a daily basis after the pharmaceutical rounds, divided into single dose packaging, labelled and then distributed to the wards. There can be no mix-ups, as each medication is clearly recognisable until it is taken thanks to the labelling with patient name, medicament name, the time it should be taken and administration.

Patient-centric provision of medication in connection with the unit-dose system means that our patients benefit from the greatest degree of therapeutic safety, quality and transparency in their treatment with medication.

By the way: to make hospital discharge easier for our patients, they are also provided with medication to take home after scheduled discharge, which will take you up to your next possible doctor's visit.

32 MEDILYS Laboratory Fast results in the laboratory and expert hygiene support

Medical Management Laboratory Hospital Hygiene/Bacteriology Hospital Hygiene Dr Hauke Heihn Dr Corina Ilchmann Ute Jürs Tel.: +49 (0)40 18 18-82 74 10 Tel.: +49 (0)40 18 18-82 74 00 [email protected] [email protected] [email protected]

Top-quality lab medicine is frequently the basis of successful treatment process. Com- prised of an experienced team of doctors, scientists and medical-technical assistants, MEDILYS supplies all facilities within Asklepios Kliniken Hamburg with a broad spec- trum of medical laboratory services. The main lab is here at Asklepios Klinik Barmbek. We deal with all the parameters here that are frequently needed or that must be avail- able especially quickly to provide you with the best care.

Comprehensive support and advice on hospital hygiene is an additional focus. To manage this, MEDILYS employs specialist hygiene exerts and hygienists on the ground. They advise and support their physician and nursing colleagues in all ques- tions relating to hygiene, support and monitor measures for infection prevention, conduct training and hence contribute decisively to hygiene and patient safety in Asklepios Klinik Barmbek.

By the way: thanks to the array of sites in Hamburg, Asklepios can offer a comprehen- sive range of medical services. MEDILYS is the best example of this.

33 Our Nursing Managers

Frank Bader Nicole Tammen Jörg Wohlers Dörte Henning Anja Beda Anaesthesia Neo Intensive IMC B 1D 3D

Katrin Meckbach Marcus Richter Gesine Schwartz Maren Eckmann Anne Liedtke Wound Clinic 2C 2D ITC A Department Head

Anto Filipovic Martina Harries Christina Nagrapske Barbara Winkelmann Volker von Hacht 2A 4A 4B Dialysis Privita

34 Holger Krüger-Rosenow Christine Tullius Renate Korth Kathleen Eulert Claudia Schmoldt CA&E Head Midwife Department Head 2B Neo Monitoring

Ruth Paetow Uta Przybylski Manja Strauß Jutta Ubben Birgit Meyer Pain Nurse Breast Care Nurse CCU Head Midwife 1C

Gisela Helweg Ulrike Hinrichs Ilka Heinrich Inge Schwardt Bianca Küsters ITC A 2E Department Head 3A 4C

35 Diethard Joppich Renate Buczkowski Gudrun Lommatzsch Elisabeth Meißner Norbert Steckmeister ITC B Surg. Outpatient 1B Kinaesthetics ITC C

Ina Dietrich Anja Lindgreen Cathrin Mindemann Philipp Störtzel Ute Fassih Breast Care Nurse Pain Nurse Department Head Social Services/Case Management Cardiology/Pneumology

Suad Kamberovic Bianca Sygusch Ewald Harp 3D Clinic Coordination Eyes CSPD

36 Nursing at Asklepios Klinik Barmbek Us for you

You as the patient with your individual personality and medical history are at the cen- tre of our nursing work. Caring for you as the patient is important to us. The health- care assistant responsible for you will give you all necessary information about the ward and daily routine and will help you to participate actively in shaping the nursing process. He or she will be your first contact and is responsible for you – although the whole team on the ward will look after you, of course. To give you the security of good nursing care, our hospital almost exclusively employs registered public health and general care nurses with three years' professional experi- ence, although every team also includes healthcare assistants with many years' experi- ence. Quality and expert standards form the basis of our work; nursing techniques and methods are tested and applied according to the latest standard of knowledge. Train- ing nursing experts ensures practical realisation of special expert themes and tasks. We Nursing Director: meet increasing requirements with a comprehensive and continually updated advanced Axel Techam and further training programme, so that we are always up-to-date for our patients. Tel.: +49 (0)40 18 18-82 64 14 Appropriately trained service staff take care of your physical needs. They will be [email protected] happy to answer nutritional questions and help with menu selection and composition. We have summarised our standard for ourselves and our work in the motto "We want to achieve orientation, well-being and security for patients".

To supplement care on ward, we have diverse specialities and special nursing areas in our hospital:

■ Anaesthesia / intensive care ■ Breast care nurses ■ Paediatric nursing in obstetrics and neonatology ■ Kinesthetics (science of movement perception) ■ Artificial / enteral nutrition ■ Emergency instructors ■ Initial patient assessment by nurses in the Central Accident & Emergency Department (Manchester Triage) ■ Transfer of care / case management ■ Special nursing staff for the care of stroke patients (Stroke Nurses) and Parkinson's patients (Parkinson's Nurses) ■ Pain management by trained pain nurses ■ Diabetes specialists ■ Wound experts

37 38 Case Management /Social Services & Relatives School Support and advice

If a need for further care becomes evident during your stay at Asklepios Klinik Barmbek, the Social Service will help with your issues. We prepare for hospital discharge with you and focus on the individually prepared medical, nursing and social aftercare.

Each ward in our hospital is covered by a member of staff from Social Service. Patients or relatives can get advice directly on the ward or also undisturbed in the Social Serv- ice offices on request.

We are happy to inform, advise and support, for example in the following areas:

■ Organising outpatient care at home or admission to a care home ■ Follow-up medical treatment (rehabilitation) Head Social Service / Case Management ■ Selecting resources and finding and organising a home help Philipp Störtzel ■ Explaining claims from health and nursing care insurance schemes Tel.: +49 (0)40 18 18-82 35 18 and pension funds [email protected] ■ Applying for classification in nursing insurance ■ Information about health care proxies, living wills or advance directives ■ Advice on issues of severe disability and the associated application ■ Special counselling options for patients with cancer or addictive diseases ■ Advice on a patient's unclear residence permit status

At Asklepios Klinik Barmbek, we also offer you the option of expert advice and train- ing from the Relatives Service in the hospital or at home on request. The aim of this service is to support carer-relatives on contentual and organisational issues and to give them confidence when dealing with the care-dependent person. In addition to a broad range of courses for relatives who are already carers or who wish to prepare them- selves for such a situation, the Relatives Service also offers individual bedside training in cooperation with professionals at Asklepios Klinik Barmbek. Focuses are, for exam- ple, movement support for the care-dependent person, maintaining your health as a carer-relative, dealing with dementia etc.

39 Speech & Language Therapy When words fail you

Speech and language therapy involves diagnosis and therapy of language, speech and voice disorders in children and adults. At the Asklepios Klinik Bar- mbek, the focus is on the treatment of patients with neurological diseases, such as stroke, cerebral haemorrhage, Parkinson's disease, multiple sclerosis etc.

These diseases often lead to disorders that hinder or prevent normal communi- cation or food intake and severely impair the daily and social life of the people affected. Speech and language therapy starts as early as possible to enable the patient to communicate satisfactorily and eat without difficulty. Detailed diagnosis is at the beginning of any therapy to identify the disrupted functions precisely in each case. Therapy is designed with the aim of maintaining and, above all, improving impaired abilities, tailored individually to the needs and abilities of each patient. In addition to inpatient treatment (for example in the Stroke Unit for strokes al- ready at the acute stage, or on the normal ward for deterioration in an advanc- ing neurological disease), continued outpatient speech therapy is also possible in individual cases with home visits.

Difficulties with language, speech and swallowing never affect the patient alone, but always the (communication) partners as well, who are involved in the therapy where possible. There is often a limited possibility for this in our acute centre, but relatives are welcome to contact us with any queries.

40 Physiotherapy Active for the body

These days, physiotherapy is an integral element of modern medicine. Scientifically- proven treatment methods are intended to restore physiological movement behaviour, to compensate muscular dysbalance and to correct substandard movement patterns.

At Asklepios Klinik Barmbek, physiotherapy is successfully used in the specialist departments of surgery, neurology, gynaecology, urology, internal medicine, oncology and also neonatology.

In our house, we place particular importance on personal care and an individually tailored therapy.

Programmes for exercise in your free time help you to help yourself, hence enabling Head of Physiotherapy you to make an active contribution to your healing. Ulrike Olbrich Tel.: +49 (0)40 18 18-82 12 24 Naturally, you can also continue your therapy as an outpatient in our physiotherapy [email protected] outpatient centre once you have been discharged from the clinic (all health insurers, trades associations, private).

41 Ethics Committee

Kerstin Hagemann Thomas Haul Dr Reinhard Laux Elisabeth Meißner Holger Pahl Patienten-Initiative e.V. Works Council Consulting Physician Care Care

Advances in medicine can improve quality of life. At the same time, what is medically feasible can also raise ques- tions of the meaningfulness of therapeutic treatment. We deal with ethical issues every day in all areas of our hospital. It becomes particularly interesting when something that is apparently a matter of course to one person is not viewed like that by all.

Every member of staff tries to respect the rights of patients, Ingrid Schumacher Dr Anke Wilhelm true to our values and our concept. We also have to take Hospital Chaplain Doctor our own limits into account. This can never be fully conflict-free. The Ethics Committee can initiate and support clarification processes.

The Ethics Committee can:

■ Advise hospital staff on ethical conflict situations and give assistance; ■ Initiate and encourage discussion of ethical standards for the work of our hospital; ■ Make recommendations for action on recurring ethical issues; ■ Offer ethical case conferences; ■ Advise hospital management on ethical issues and make recommendations.

Our Ethics Committee is interdisciplinary, works independently and is not bound by instructions.

E-mail: [email protected].

42 Patient Advice & Liaison Service Help us to be better

Your opinion is important to us! Your criticism leads to improvement, your praise motivates us.

This is our approach for dealing with complaints and positive feedback. We want to deal constructively with feedback from patients, relatives, visitors, referrers etc. and, in so doing, achieve lasting customer satisfaction in the sense of the "Hamburg Declara- tion". We are please when you are satisfied with us, but we also expressly request that you tell us if this is not the case and/or you have a suggestion on how we can improve. Please contact us as soon as possible, because we can often help you immedi- ately and still during your stay.

You are welcome to tell a member of staff your concerns directly or please contact me (Regina Schmitz-Gericke). You can also make use of our opinion cards. We deal with Patient Advice & Liaison Service opinion cards as quickly as possible, both for personal issues and feedback. We are Regina Schmitz-Gericke really interested in what you think. Therefore, we also conduct regular interviews with Asklepios Klinik Barmbek patients. Tel.: +49 (0)40 18 18-82 90 21 Fax: +49 (0)40 18 18-82 46 09 The results of the opinion cards and the questionnaires are evaluated statistically and [email protected] are worked-up in the form of regular reports, in addition to individual handling. We see ourselves as a learning organisation and aim to learn from the received feedback, Consultation hours: cover any weak areas and continually improve our hospital. Monday - Friday 2.30 pm - 3.30 pm and by arrangement

We also work very closely with the [PI(K)] – patient initiative in hospital. The [PI(K)] persons of trust are there for patients or relatives when they do not feel understood or see grounds for a complaint. The [PI(K)] persons of trust are representatives of the non-profit Patienten-Initiative e.V. and are independent of the hospital and always strive to improve dialogue between patients and staff in the hospital.

Contact Tel.: +49 (0)40 18 18-87 30 13/-86 34 78 Fax: +49 (0)40 18 18-87 30 14/-86 34 57 [email protected] Personal counselling is possible after prior telephone arrangement.

43 Cooperation partners

Psychotherapy Practice Dr Anne Piening-Lemberg (in the Oncology Medical Centre Barmbek) Provision of psychotherapy services for outpatients, focusing on the care of tumour patients.

Haemato-Oncology Centre Hamburg Ost – Dr Ulrich Fritz Outpatient care for our oncology patients is effected via the medical treatment centre founded and run jointly with the Haemato-Oncology Centre Hamburg East / Dr U. Fritz.

Practice for Pain Therapy & Palliative Care – Dr Bastian Steinberg Our team is supported by Dr Steinberg's practice in the field of palliative care and specialised pain therapy for patients with incurable diseases.

Shunt Centre Hamburg – Dr Frank Johnsen, Dr Isabell Jester The Shunt Centre Hamburg at the Asklepios Klinik Barmbek handles all types of dialysis access operations in close cooperation with our Nephrology and X-Ray Departments. In Dr Johnsen and Dr Jester, vastly experienced shunt surgeons are on hand.

Oral, maxillofacial and facial surgery/dentistry – Dr G. Ehmann, Dr M. Ehmann The cooperation with Drs Ehmann emerged from a former department for maxillofacial and facial surgery; they look after our patients in the treatment of all jaw and tooth problems.

Specialist physicians for pathology /haemopathology – Dr M. Tiemann, Dr B. Feyerabend, Dr C. Schulte Examination of tissue or blood samples is frequently necessary to secure a diagnosis. Cooperating with our partners Drs Tiemann & Feyerabend and the Institute for Haemopathology Hamburg, we are in a position to draw on all specialised procedures.

Specialist physician for Plastic Surgery – Dr Jan Pasel As a specialist physician for plastic surgery, Dr Pasel is brought in by our Breast Centre when a patient requires breast removal as part of breast cancer treatment and reconstruction is to be effected with the patient's own tissue with a new vascular connection (free flap).

Day Clinic Altonaer Straße – Dr A. Nugent, Dr P. Biel and Colleagues For gynaecological procedures that can be treated on an outpatient basis, we have cooperated successfully with the specialist physicians from Day Clinic Altonaer Straße for years.

44 Quality at Asklepios Klinik Barmbek A little better every day

As a patient you rightly expect outstanding quality from our hospital. In this, when we speak of 'quality', we mean caring for the patient in a medical, nursing and therapeutic sense and also working with the practising physicians and our other cooperation part- ners. Based on our philosophy and our management principles, we at Asklepios Klinik Barmbek maintain high quality standards that start even before your stay in our clinic and accompany you beyond. We are also concerned that your relatives and visitors be well cared-for.

Our aims are:

■ Excellence in medical and nursing care Head of Quality Management ■ A high satisfaction among our patients and referrers Dr Niels Köster ■ Satisfied and motivated staff Tel.: +49 (0)40 18 18-82 98 03 ■ Commercial success and [email protected] ■ Successful presentation internally and externally.

To achieve these goals, we regularly describe and review all processes and structures, expand strengths, exploit improvement potential and constantly measure our quality against established indicators. Results of the constant quality development include the exceptionally good judgement for the recertification of our quality management system according to CTQ (Cooperation for Transparency and Quality in the Health Sector) in February 2011 and numerous cer- tifications and awards confirming a special treatment expertise, whose certificates deco- rate the entrance hall to Asklepios Klinik Barmbek. Additionally, please find a selec- tion of our awards and certificates on the following page. Our annual quality reports make our quality visible and transparent for everyone. Feel free to download the quality report from our homepage – www.asklepios. com/barmbek – or ask us about it.

45 ■ Focus 'TOP Clinic' TOp In July 2012, the magazine FOCUS® honoured Asklepios Klinik Barmbek with second NATIONALEs KRANKENHAUs place in its 'List of best German Clinics' in Hamburg, awarding it the title 'TOP Clinic'. In a national ranking of German hospitals conducted by the magazine, our clinic also 2012 achieved the excellent 31st place (of over 2,000 clinics). As FOCUS puts it, this stamp of quality pays testimony "to the excellent medical and nursing services, also its repu- tation in expert circles among over 18,000 interviewed doctors, hence elevating these DeutschlanDs grösster KranKenhaus- sanatoriums above the mass of 2,000 hospitals in Germany." vergleich This excellent assessment of Asklepios Klinik Barmbek is based partly on an outstand- ing range of treatments, in particular for breast and gastric cancer, risky births, Parkin- son's and prostate cancer. However, the full assessment also includes the experience, case numbers, certifications, sustained treatment success in operations, low complica- tion rates, staff levels and technical facilities, qualification of doctors and nursing staff and standards of hygiene.

■ KTQ Our clinic has been certified according to CTQ (Cooperation for Transparency and Quality in the Health Sector ) since February 2008, and was recertified with resound- ing success in December 2010. This means the whole hospital was inspected according to a criteria catalogue for acute clinics, which was developed by experts from hospital practice under the leadership of representatives from the Central Associations of the Health Insurance Providers, the German Medical Association, the German Hospital Federation and the German Nursing Council. The award of this quality seal means the quality management system has been assessed and that continual improvement of processes and results within patient care are excel- lent.

■ Gastro Centre and Pancreas Centre The Asklepios Gastro Centre Barmbek was certified by the German Cancer Society (DKG) in February 2009 as a collaboration of experts from different disciplines within the hospital, outside doctors and other cooperation partners. The aim of the centre is to treat gastric cancer at the highest level. All care options – from screening examina- tions to early detection, diagnosis and therapy to aftercare – are guided by the latest national and international guidelines and also the requirements of the individual case. Based on the certified Gastro Centre, our clinic has also been certified as 'Pancreatic cancer centre on the recommendation of Deutsche Krebsgesellschaft e.V.' since Decem- ber 2010. This confirms high quality standards, also in the treatment of pancreatic cancer.

46 ■ Competency Centre for Surgical Diseases of the Liver In February 2012, Asklepios Klinik Barmbek was only the third clinic in Germany to be awarded certification as 'Competency Centre for Surgical Diseases of the Liver' by the German Society of General and Visceral Surgery (DGAV) and the Surgical Cooperative for Liver, Gall Bladder and Pancreas Diseases (CALPG). The interdisciplinary coopera- tion between our general and visceral surgery and gastroenterology, oncology and radiology was assessed to be excellent.

■ Breast Centre The Breast Centre at Asklepios Klinik Barmbek has been certified since 3 June 2004. This neutral and national quality seal is awarded by the German Cancer Society (DKG) and the German Society of Senology (DGS) and is checked at regular intervals. We treat our patients according to the latest medical guidelines from German profes- sional associations and EUSOMA (European Society of Mastology).

■ National Stroke Unit The Stroke Unit in Neurology at the Asklepios Klinik Barmbek was first certified by the German Stroke Society and the German Stroke Foundation in 2006 and was suc- cessfully recertified in August 2009 and again in September 2012. Our national Stroke Unit offers all diagnosis and therapy facilities for patients with acute stroke.

■ Pain therapy Interdisciplinary acute pain therapy at Asklepios Klinik Barmbek has been certified with distinction by TÜV Rhineland since 20 January 2011. The certification is based on the national S3 guideline 'Treatment of perioperative and post-traumatic pain'. This certificate applies to the departments of anaesthesia and operative intensive care, gynaecology and obstetrics, traumatology, orthopaedics, urology, general and visceral surgery and thorax surgery, and confirms the highest standards of pain treatment in accordance with the national standards.

Our hospital's other certifications include

■ Relatives-friendly intensive care ward (neonatology) by Stiftung Pflege ■ Seal of quality 'Asklepios Quality Reception' ■ Sleep laboratory accredited by the German Society for Sleep Research and Sleep Medicine (DGSM) ■ MEDILYS Laboratories accredited according to DIN EN ISO 15189:2007 ■ Dual training in accordance with the Hamburg Industry of Commerce initiative

47 Training at Asklepios Klinik Barmbek Also there for you in the future

Offering over 1,200 trainee positions, Asklepios Kliniken Hamburg GmbH is the city's largest training firm – and at Asklepios Klinik Barmbek also, we focus on training and fostering young talent:

Healthcare and nursing staff High-tech medicine, multiprofessional teams, computer-supported documenta- tion - this is the environment that nurses work in today. Practical and technical know-how are just as much in demand as soft skills such as empathy, observational skills, organisational talent and creativeness. Public health and general care nurses are connecting links between patients, doctors and other health professions, as well as an important contact for relatives. After training, public health and general care nurses work in many different areas, such as hospitals, clinics, outpatient nursing services, elderly care homes and rehabilitation centres or hospices. There are also numerous opportunities for advanced and further training.

Midwife/(m/f) Midwives enjoy a position of trust in young families - it is their job to support expectant mothers from the begin- ning of their pregnancy through the birth and postpartum and to provide professional assistance for the natural processes of pregnancy and birth. Therefore, in addition to well-founded theoretical knowledge and practical abilities, midwives also need good social skills: empathy, powers of observation, organisational talent, creativity and excellent communication skills. In everyday work in the hospital and domestic environment, the midwife is the link between families and other medical and social professions. The midwife profession is a truly multifaceted field, for instance working as a midwife in the operating theatre, on the infant and newborn baby ward or as a freelancer.

Technical Operation Assistants (TOAs) Completing a three-year training, the TOAs acquire the wide variety of skills required in the operating theatre and functional fields such as the outpatient unit, endoscopy and central sterilisation. As an important element of the operation team, they look after patients while in the theatre, independently organise their workflow in the functional areas and deal with preparing for operations and providing the instruments, among others things.

Medical Assistants (m/f) Medical Assistants work primarily in providing assistance during examinations, treatment and care, before, dur- ing and after the treatment of patients and in practical organisation and administration, including accounting and documentation. The training lasts for three years and takes place within a dual system; this means in the clinic and the vocational college.

48 Commercial professions Healthcare Officers plan and organise business workflows and service procedures in various fields of work within the health sector. During the course of their train- ing, they acquire qualifications in the fields of customer care, documentation, mar- keting, accounting and finances, human resources management, quality manage- ment and materials management. Office Communication Officers effectively deal with typical business tasks such as assistance and secreterial functions or working in the fields of human resources or accounts.

Chef Our kitchens are responsible for providing food to the staff canteen in the clinic. Over the course of their training, chefs learn recipes, familiarise themselves with the preparation of food and the planning and purchasing of ingredients. In addi- tion, their training includes the composition of menus and menu suggestions, the basics of a healthy diet and eco-conscious and economic operations.

For additional information:

Healthcare and nursing, TOA and MA Midwives/(m/f) Angela Dietzler Karin Niessen Tel.: +49 (0)40 18 18-82 61 14 Tel.: +49 (0)40 18 18-84 26 35 [email protected] [email protected]

Commercial professions Chef Steffi Raddatz Oliver Spiewak Tel.: +49 (0)40 18 18-82 72 16 Tel.: +49 (0)40 18 18-82 77 35 [email protected] [email protected]

If you wish to apply for a medical profession, please send your application and your selection of clinic for the practi- cal section of the training to: Bildungszentrum für Gesundheitsberufe (BZG), Eiffestraße 585, 20537 Hamburg

49 Medical students at Asklepios Klinik Barmbek

Practical training (PY – practical year): with us does not mean: "take blood, hold hooks, keep your mouth shut!" Because we want the medical students as future doctors for our hospital and your treatment, we think it is very important to value and motivate them. It is our wish to provide orientation in the special, transformational stage between studying and starting a career: in addition to practical training and to hone your skills, we offer numerous, also interdepartmental training events that have a particular focus on practical elements. On the other, it is important to us to ease the transition to later acceptance of medical responsibility. Therefore, after the initial induction period, our students have the option of performing their firsts tasks relatively independently – but always under the supervision of experienced doctors. The PY students look after their own group of patients in suitable departments and under the guidance and responsi- bility of the ward doctor, which means they are monitored and supported by experienced ward doctors. However, independent work creates commitment and motivation – it is also down to the individual students to make the most of their time in our hospital.

Contact partner Priv-Doz. Dr Karl Wagner Jana Bartels Tel.: +49 (0)40 18 18-82 38 01 Tel.: +49 (0)40 18 18-82 64 10 [email protected] [email protected] PJ Officer PJ Coordinator

Students can apply stating their department of choice to the PJ Coordinator Ms Bartels or directly to the Chief Physician of the applicable department.

As a teaching hospital of the University of Hamburg, Asklepios Klinik Barmbek has a long tradition of training medical students, especially the PY training. Many of our academic staff at Asklepios Klinik Barmbek also have teaching duties at the Asklepios Medical School, Campus Hamburg of the Semmelweiss University of Budapest.

50 Working at Asklepios Klinik Barmbek

The pivotal factor in determining the quality in a hospital is embodied by the people who work there – our quali- fied, dedicated and motivated staff represents the heart of our clinic. Over 1,300 employees in different vocational groups contribute to professional patient care and to the success of our clinic: in addition to nursing staff, therapists and doctors, this group includes people involved in patient trans- port, service staff, administrative staff and also technicians. It is important to us to be a fair and reliable employer: we face up to rising demands and continual changes in the health sector and medicine with a broad range of training, coaching and qualification programmes. We promote a focus on performance and dedication, but still wish to allow our staff to enjoy a healthy balance between work and private life. In addition to our health drive campaign 'Asklepios Aktiv', we are particularly committed to the compatibility between career and family.

Career and family: No contradiction for us We seek to enable men and women entrusted with responsibility within the family to pursue qualified work within the clinic. Family-focused human resources policies, varied working hour models, support in childcare (also dur- ing school holidays) and advice for parents-to-be are therefore self-evident for us. Since December 2012, we have held the stamp of quality 'audit career and family' that registers measures introduced to improve compatibility be- tween career and family and that ensures binding target agreements for anchoring a family consciousness within the corporate culture. Our human resources management would be pleased to provide you with information concerning professional development opportunities in our clinic.

Bettina Köster Steffi Raddatz Head of Human Resources Human Resources Manager Tel.: +49 (0)40 18 18-82 72 00 Tel.: +49 (0)40 18 18-82 72 16 [email protected] [email protected]

Stephanie Kayser Human Resources Manager Tel.: +49 (0)40 18 18-82 72 04 [email protected]

51 The Asklepios Klinik Barmbek: A hospital with a long tradition …

A third large hospital in addition to Eppendorf and St. Georg was urgently needed at the start of the 20th century due to the high population growth in the north and east of Hamburg. The 'Allgemeine Krankenhaus Barmbek' was therefore created between 1910 and 1913. A design with an array of individual buildings was chosen to help prevent the spread of infectious diseases within the hospital. The hospital was opened in 1913 with around 30 buildings and over 2,000 beds. The clinical facilities were supplemented at that time by an x-ray unit and laborato- ries, bathhouse and pharmacy, as well as kitchens, laundry and heating.

During both world wars, the Barmbek hospital was used for a time as a reserve military hospital and, after 1945, it was an English military hospital. The hospital has been continually redesigned over the course of its eventful history to meet the needs of modern medicine and to offer the best care to patients. However, the pavilion build- ing design with its resulting transport distances and the sprawling arrangement of diagnosis and therapy areas remained. Thus, the existing structure of the Barmbek hospital could no longer meet the requirements of competi- tive hospital management.

At the end of the 1990s, the Senate of the Free and Hanseatic City of Hamburg decided to rebuild the hospital on the northern section of the existing site. An architectural competition (2001) was followed by the laying of the foundation stone (2002), topping-out ceremony (2004) and, in December 2005, the move to one of the most up-to- date hospitals in Europe, which achieves high clinical quality for you – our patients – through patient-oriented workflows, short distances, fast communication and the latest medical technology.

The former Landesbetriebs Krankenhäuser (LBK) was sold to Asklepios by the Free and Hanseatic City of Ham- burg during the building phase at the end of 2004, enabling further investment on our part into the sustainability of the new hospital.

52 ... and a vital future

With a building that consistently focuses on the treatment process at its heart and a structure that encourages in- novative solution concepts, Asklepios Klinik Barmbek acts as a reference centre for the Asklepios Future Hospital (AFH) Programme. This term indicates a cooperation that Asklepios has initiated with Intel and Microsoft, which now has more than 23 participating partners.

New standards are set with this programme: with regard to both the synergy in organisation, processes and IT in the hospital, and also in interaction with other service providers. Important medical information must flow better along the whole treatment chain so that patients receive faster, more successful and more cost-effective help. In order to achieve this, we first of all successfully deploy cutting edge methods in process management; secondly, we develop and test innovative solutions.

The main focus is on people, companies and technologies playing an active role in shaping the future of our healthcare system. Thus, at Barmbek we have aimed not only to find the right approach to new challenges through advanced medical technology and innovative examination methods, but also to participate actively and consist- ently in further development.

Large LCD screens on the walls of the Central Accident & Emergency Department (dashboards) show medical personnel the latest status of rooms, patients and equipment. Medical personnel can access all patient data and documents, including images, at the patient's bedside using tablet PC and WLAN network, and call up or forward information from other departments. www.asklepios-future-hospital.com

53 Prevention Prevent rather than cure

In Germany, diseases that could have been avoided through early prevention are on the increase. These diseases impair quality of life, can reduce life expectancy and also pose a high financial burden for healthcare and social welfare systems. To counter these devel- opments, Asklepios hospitals have set up prevention projects for children and young people across Germany.

The Dr.-Broermann-Stiftung, a private foundation of the founder of Asklepios Kliniken, Dr Bernard gr. Broermann, has been work- ing for more than twenty years to encourage preventative and therapeutic healthcare. Healthy nutrition and applying knowledge from holistic medicine are the foundation's central aims. Avoiding disease through education and upbringing – especially in child- hood – is a matter close to Dr gr. Broermann's heart. The founda- tion awards grants with this aim of sustainable prevention in healthcare, which may only be used for this purpose.

All Asklepios establishments have been working with one or more local partner schools on innovative prevention projects and supporting selected pupil initiatives since the beginning of 2007. These projects are also very important to the people in charge at our hospital. We offer prevention-related events and projects on site in our hospital under the motto "Prevention is better than a cure!" Whether the visit from the kindergarten group on the theme of "no fear of the hospital" or a workshop with seventh and eighth graders on the health risks of alcohol abuse and smoking - our committed nurses and doctors get the children involved and enthral them with stories and knowledge from everyday hospital life. Of course, other topics are possible too thanks to our broad range of medical services - we welcome enquiries!

54 Hospital information

Additional payments Patients with statutory health insurance must currently contribute €10.00 per day (for a max. 28 days per year) to the costs of inpatient treatment. Our hospital is legally obliged to take this contribution to pass to the health insur- ance schemes.

Alcohol It is forbidden to consume alcoholic beverages in our clinic.

Art and culture Together with the Freundes– und Förderkreis we try to present small concerts and changing exhibitions to our patients and staff at regular intervals. You can find out about forthcoming events on your ward.

Café In Barmbek, we distinguish between a canteen that is reserved for staff members only, and a public café.A You can find the café in the shopping arcade.

Cash machine There is a cash machine available to you in the entrance hall.

Cashier Our cashier is available to you to make cash deposits on the hospital bill or to make advance payments, for instance. Opening times: Monday: 9 am to 12 pm, Tuesday, Thursday, Friday: 9 am to 10 am, closed on Wednesday. EC payments at the reception in Central Accident & Emergency are possible outside of these hours.

CIRS The abbreviation CIRS (=Critical Incident Reporting System) describes a process within the clinic, intended to improve patient safety. Using this system, employees can use a standardised method to anonymouslyC report un- desired incidents or mistakes that emerge in everyday clinic life. The reports are taken and translated into binding measures in order to prevent these incidents reoccurring, that is to define process optimisation; the implementa- tion of these measures is reviewed on a regular basis.

Comfort Patient comfort was a particular focus when building Asklepios Klinik Barmbek. For example, we only have one or two-bed rooms with their own bathrooms. We have optional service wards and our PRIVITA comfort ward for those patients who value supplementary individual service and guaranteed treatment from the chief physician.

55 Data protection Naturally, all personal data are subject to data protection and are treated in accordance with the legal provisions.

Departments Please find a more detailed description of our specialist medical departments on pages 13 to 33 of this brochure; the contact data for the various departments is also listed there.

Driving directions DDirections on how to get to Asklepios Klinik Barmbek are provided on page 64.

Events As a hospital it is important to us to be open for patients and interested parties. Therefore, our departments are always organising events and lectures for medical laypeople. For example, information evenings for expectant parents, Hanseatic night presentation or open-door day – you will find upcoming events on our Internet pages at www.asklepios.com/barmbek. Numerous advanced and further training events for outside doctors stimulate active exchange with one another and encourage good networking with our hospital. You will also find upcoming professional events on the Internet link given above.

Fasting Regardless of how your examinations are planned, it may necessary to fast on your day of admission to the hospi- Etal – i.e. consume no food or drink. If you are unsure about this, please contact us in advance. Freundes– und Förderkreis AK Barmbek e.V. The Freundes– und Förderkreis organisation promotes and finances cultural projects in particular around the Asklepios Klinik Barmbek site. The aims laid out in the charter cover promoting art and cultural life for patients, relatives and hospital employees by acquiring art objects and by holding events open to the public, promoting healthcare through information and information events and supporting sick people who require help. Several exhibitions and art projects have already been realised in the hospital thanks to the commitment of the Freundes– und Förderkreis. At the end of 2009, the organisation also acquired a grand piano, which is now positioned in the inner courtyard at Asklepios Klinik Barmbek and which contributes to patient, visitor and staff entertainment within a loose concert programme under the motto “Uplifting Barmbek”. You can get more information about the Freundeskreis and about current projects and opportunities for participa- tion on the Internet at www.freundeskreis-barmbek.de

Grüne Damen und Herren FThe “Grüne Damen und Herren” have been providing their care and helpfulness at Asklepios Klinik Barmbek since 2007. The voluntary helpers see their role as contributing to recovery through compassionate support, care and attention to the concerns and woes of the patients. They like to make your stay in hospital easier, because they know that this time can be significant and also stressful for patients and relatives. The Grüne Damen und Herren perform no nursing or housekeeping tasks and are not in competition with the professional nursing staff. G56 Their services include: ■ Time to talk – on a confidential basis of course; ■ Shopping – for example, personal items like newspapers or special food items; ■ Company– whether in the Café, on a walk or during an examination; ■ Maintaining contacts, for instance help in writing a letter or topping up a telephone card; contact with the spiritual counsellors, hairdressers, pedicure staff or the medical store; ■ Media service – mobile lending library.

There is a special service aimed at patients suffering from dementia. The Grüne Damen und Herren, who wear a smiley on their name tags, have special training in dealing with patients suffering from dementia.

The Grüne Damen und Herren are always looking for support – you will find more information on voluntary work and support possibilities on the website of EKH Evangelische Krankenhaus-Hilfe e.V. (www.ekh-deutsch- land.de) or directly from Asklepios Klinik Barmbek under Tel.: +49 (0)40 18 18-82 90 40 gruenedamen.barmbek@ asklepios.com

Hairdresser See “Shopping arcade”.

Hospital radio A special feature at Asklepios Klinik Barmbek is the in-house radio and television programme, received using the television sets next to each bed. It is only thanks to a team of dedicated volunteers that this special service is possible. Highlights in the programme include live broadcasts, which patients and visitors are warmly invited to attend in the shopping arcade studio. Music requests and patient greetings can also be submitted (telephone +49 (0)40 18 18-92 92 92 (inside the clinic 92 92 92). Apart from the live broadcast times, the hospital radio offers a lively pro- gramme, featuring our menus or documentaries about the clinic, to name just a few.

House regulations The specifications defined in the house regulations are binding for all patients and visitors. They are posted in the showcase on the ground floor. H

57 Information In addition to our central Infopoint in the entrance hall (tel. +49 (0)40 18 18 82 90 01), there is a reception on each floor, available to answer your questions.

Interpreters We can call on an in-house or external interpreter for patients whose grasp of German means they have problems with comprehension. If needed, we can also organise interpreters for sign language.

Library The Grüne Damen offer a mobile library service. IMedication Please bring any medication that you take regularly or a corresponding list when you are admitted to hospital. You should also bring any medication, allergy or immunisation records. Important: If you take blood-thinning medication/anticoagulants, please contact your doctor as soon as possible to discuss a structured withdrawal/ substitution.

Nutrition Our menu permits you to select from several meals each day. For instance, if an illness requires you to consume only certain foods, our trained service staff will be pleased to offer assistance.

Optional services We offer patients with private health insurance additional comfort services, for instance in our PRIVITA ward. You will be informed of these during admission. However, you are also welcome to contact us in advance with any questions.

Parking spaces Please remember that it is forbidden to park in front of the main entrance. You may stop here briefly, though, for instance to pick someone up. Please use our parking level for more extended parking. Additional information on this is found on page 64.

Patient wristbands When you arrive at our clinic, whether as inpatient or outpatient, you will be given a so-called patient information wristband. This is used to check your identity in all stages of treatment and helps us prevent any cases of mistaken patient identity – even when you are unable to provide us with any information. The wristband contains in plain text and barcode your name, date of birth and case, resp. patient number. Wearing the wristband does not restrict you in any way: It has been tested and does not cause allergic reactions or any adverse responses and can also be worn in the shower, for example.

P58 Patient’s Information The diverse options in medical diagnosis and treatment are often difficult for the layperson to understand. Our medical staff will explain you disease and treatment to you. Please do not hesitate to ask if anything is unclear – also welcome at a later date!

Photography and filming The clinic is not a public space; it is a protective and protected area in which special regulations apply. It is there- fore forbidden to photograph or film patients. Photo, audio or film recordings intended for publication are there- fore only permitted subject to prior authorisation by the management or the central press office. Only patients and their relatives are permitted to photograph and film, provided the images are intended for private and personal purposes and no other persons are visible therein.

Post If you want to receive post as a patient or write to a patient, then as well as the hospital address, you must include the name, ward and, if possible, bed number.

Pets For reasons of hygiene, it is not permitted to bring your pets to the clinic.

59 Relatives Service Alongside the Social Service, the Relative's Service will be happy to assist if you have any questions about your relative's ongoing treatment or would like caregiver training in day-to-day home care. There is detailed informa- tion on page 39.

Registration & Admissions The first step of your stay is registration. This deals with all necessary formalities. Your personal details are re- corded, incl. a contact person if required. The treatment contract detailing the legal basis of your treatment in the hospital is also part of Registration, plus the optional services contract for privately (additionally) insured patients. Please bring your insurance card to registration, as well as your referral or transfer letter from your doctor. If you already have diagnostic findings please also give these to the attending physicians. If you or your relative Rare already live in a nursing home or are cared for by a nursing service, please bring the care home/nursing serv- ice information folder with you.

60 Shopping arcade Patients and visitors will find an array of services in our shopping arcade on the ground floor (directly to the right behind the main entrance):

■ The cosy Café Hansebäcker Junge with summer terrace, courtyard terrace and kiosk is a nice place to be from 7 am to 6 pm, Monday to Friday, and from 8 am to 6 pm on Saturday and Sunday. ■ Blondi‘s hair salon provides all styling and hair care services. The staff at the salon are also happy to collect patients from the ward on request or they can provide services on ward if needed. ■ Marion & Kai‘s Shop offers an Internet terminal alongside flowers, gifts, toiletries and cosmetics and baby things. ■ The Stolle medical store offers an extensive range of consulting, service and provisions. ■ There is a cash machine available to your in the entrance hall. S Smoking Smoking and indeed any kind of naked flame are prohibited in our clinic. This also applies to cigarette surrogates such as so-called e-smokers. We also ask that you refrain from smoking immediately outside entrances out of respect for other patients, visitors and staff.

Social Service The social services team will look after consulting and organisation for your ongoing care after your inpatient treatment in the clinic. Please find additional information on page 39.

Spiritual guidance For many people, a stay in hospital is connected to crises and disruptions in their life. If you need someone to talk to or to support you in difficult situations, then the hospital chaplains at Asklepios Klinik Barmbek are at your disposal. Talking can help to clarify ■ A personal situation ■ Relationships with people and God ■ Hopes and fears ■ Issues of faith or doubt. Prayers or blessings may also be helpful.

The chaplains are happy to visit patients and relatives on the ward. There is also a quiet room on the ground floor of the hospital that can be used for relaxation and personal prayer.

The chaplain service is open to everyone, regardless of religious beliefs: for patients, relatives and friends, as well as staff. You can get more information at www.krankenhausseelsorge-hamburg.de or from our hospital on Tel.: +49 (0)40 18 18-82 90 15 (Pastor Birgit Berg)/-82 90 17 (Pastor Ingrid Schumacher).

61 Suggestions and criticism If you have any suggestions or criticisms, please approach any member of staff or our contact point of patient concerns. There is detailed information on page 43.

Support groups Many illnesses have a huge affect on the lives of those affected. Often, support groups can help you to deal with this or offer tips for everyday life before or after an illness. Therefore, we as a hospital work very closely with many support groups. If you as a patient or relative are interested in contacting a support group, you can get information on existing cooperation and groups from individual departments.

You can also get information on support groups from KISS (contact and infopoint for support groups). KISS serv- ices include

■ Exchanging experiences, ■ Mediating between interested parties, group founders and existing groups ■ Finding accommodation for support groups, ■ Coordinating cooperation with institutions and local initiatives.

The website www.kiss-hh.de has more information.

We work particularly closely with “Frauenselbsthilfe nach Krebs” (women’s support after cancer). Landesverband Hamburg – Schleswig-Holstein e.V. under the patronage and with the financial support of Deutsche Krebshilfe e.V., runs a counselling centre at Asklepios Klinik Barmbek. Under the motto “Be there – Inform – Support”, Frau- enselbsthilfe nach Krebs offers information and counselling here for people with cancer and relatives, individual chats and telephone counselling, contact with support groups in Hamburg, Schleswig-Holstein and Bremen, free, easy-to-understand counsellors and brochures and support on the founding support groups. You will find more information on the Internet at www.frauenselbsthilfe.de or from our hospital on tel. +49 (0)40 18 18-82 12 27.

Telephone You will need a telephone card to make and receive calls. There are dispensers in the entrance hall and at central reception on levels 2 and 4; the Grüne Damen would also be pleased to help. Once the telephone card is charged with your desired credit, please register it on the phone at your bedside. Naturally, you will get any remaining credit and your deposit back at the end of your stay; please use the machines for this purpose. For your own secu- rity, please keep the receipt issued by the machine. In general, mobile telephones are not banned in our hospital. However, we ask that you observe the notices in individual departments and also consider other patients.

Treatment contract This contract, which is signed on Admission, forms the legal basis for treatment and clarifies the general terms and conditions and the treatment cost tariff. You will also find our data protection guidelines here. You can also choose Tvarious optional services as part of your treatment contract and sign the optional service contracts if applicable. 62 Treatment costs If you have statutory health insurance, the hospital applies to the insurance scheme directly to recoup the treat- ment costs. You will only be invoiced for your own contribution/additional contribution, which the hospital will then pass on automatically to your insurance scheme. If you only have private health insurance, the hospital bills your private health insurance company directly. In all other cases, you will receive appropriate invoices that you can submit to the applicable reimbursement company.

TV and radio Each of our beds is equipped with its own media terminal with TV and radio – including in two-bed rooms, so there is no conflict over the evening programme.

Valuables Please do not bring valuables to the clinic, in particular larger amounts of cash.

Visits We do not have defined visiting hours here in our clinic. However, relatives and friends should respect the particu- lar conditions of each department – especially the intensive and intermediate care wards – and to ask for individ- ual regulations on the wards. Please also be considerate of your fellow patients: avoid visiting in large groups, and please behave quietly and discretely. Please also behave accordingly when using your cellphone.

Waiting times We try to keep your waiting time in the hospital as brief as possible. At the same time, we cannot always treat “in turn” in a hospital – we often have to be guided by the medical necessities and the seriousness of a patient’s illness. We ask for your understanding in advance if you should have to wait. V

What to bring As well as personal items, please remember to bring required documents like your health insurance card, the refer- ral/transfer from your doctor and any findings or x-ray images if you have them. Please also see the information under Medication! For your inpatient stay in the hospital you should bring your personal toiletries, sleepwear, dressing gown, comfortable everyday clothing and shoes. Although we offer TV and radio at every bed, we also recommend that you bring a few extra things to pass the time – books, magazines, MP3 player etc. Please consider, though: space in your hospital room is limited and hospital stays are usually relatively short nowadays – bringing several bags is, therefore, mostly superfluous and just an unnecessary hassle for you. Obviously, you do not need an overnight bag for outpatient examination or treatment in our hospital. In all cases you should leave valuables, expensive jewellery and larger amounts of cash at home. W

63 How to find us

... By car: Unfortunately, many navigation systems have problems finding the right house number. The main entrance to the hospital is on Rübenkamp between the Jahn- brücke bridge (600 m to the south) and Hebebrandstraße (150 m to the north). Please make sure you use the alternative postcode '22307'. The hospital car park is directly opposite the main entrance. Use is free for the first 30 minutes and is then charged at €1,- per hour. The maximum daily charge is €10,-.

There are taxis in front of the entrance.

... By public transport: (see map for stations)

Take the S-Bahn (suburban rail network) to the station Rübenkamp (City Nord), lines S 1 and S 11. You can also use this connection to comfortably reach out house from the airport or from the main Hamburg railway station.

The hospital is also well-served by several bus stops: "S Rübenkamp", lines 20, 26, 118. "Hebebrandstraße", lines 7, 26, 39, 118, 172 and night bus 607. "AK Barmbek", lines 7, 39, 172 and night bus 607.

Asklepios Klinik Barmbek Rübenkamp 220 22291 Hamburg Tel: +49 (0)40 18 18 -82 0 [email protected]

64 1) Info Point 2) Central A & E 3) Shopping Arcade and Seminar Rooms 4) Room of Stillness / Pastoral Care 5) Contact Point for Patient Concerns 6) Control Point X-Ray 7) Control Point Operations / Outpatient Operations 9 8) Intensive Care Wards A-C 9) CCU 1 10) IMC-C / CCU 2 11) IMC-B / Stroke Unit 12) Chief Physician Anaesthesia 13) Chief Physician X-Ray 14) Chief Physician Urology

8 12 10

13 6

Operating Theatres 7 4 5 11

14

1

2 3

Ground Floor

1) Registration 2) Gynaecological Outpatient Unit + Breast Centre 3) Registration for Childbirth 4) Prenatal Diagnosis 5) Control Point Delivery Room Neo-Aftercare and Intensive Care 6) Bell: ▪ Chief Physicians Neonatology + Obstetrics/ Gynaecology ▪ Neonatology Intensive Care and Aftercare Ward 1D 7) Urological Outpatient Unit 8) Control Point Physiotherapy 9) Gymnastics Room

6 1C Delivery Room

2 8 9 5 3 4 1 1B

Delivery Room 7

1A

1st Floor 65 1) Registration Eye Care 2) Outpatients Eye Care 3) Vision Training Centre 4) Eye Outpatient Clinic 5) Surgical Outpatient Unit 6) Registration Surgical Outpatient Unit Registry Offi ce 7) Registration Anaesthesia 2D 8) Pharmaceutical Induction Consultation 9) Chief Physician Eye Care 10) Chief Physician A & E Surgery + Nephrology

9 10 2C

8 4 7

2E 3 2 1 5 6 2B

2A

2nd Floor

1) Registration 2) Oncological Outpatient Unit/MVZ Oncology & Psychotherapy 3) Sonography 4) Endoscopy 5) Visceral Medicine Outpatient Unit 6) Chief Physician Oncology 7) Chief Physician Neurology 8) Chief Physician Gastroenterology + General Surgery 3D 9) EMG, EEG, EVP 10) Dialysis 11) Social Services/Relatives Services

10 6 7 8 3C

2 3 4 3B 10 9 1 11 5

3A

66 3rd Floor 1) Registration/Contact Person for Optional Services 2) Stress Echo/ECG 3) Left Ventricular Catheters 4) Sleep Lab Privita 5) Diabetes Consulting/Nutritional Consulting 6) Hospital Hygiene/MEDILYS 7) Chief Physician Cardiology 8) Chief Physician Pneumology 9) Chief Physicians Thorax Surgery 10) Pulmonary Functions 11) Echocardiograms 10 6 7 9 4C

11 3 2 1 5 4B

4 8 4A

4th Floor

Publisher: Hans-Friedrich Günther Managing Director Asklepios Klinik Barmbek

Editor: Karen Schäfer, Asklepios Klinik Barmbek

Photos: Medical photography: Bertram Solcher, Peter Hamel Portraits: Michaela Kuhn, Britta Engelhardt Fotolia

Layout & Printing: Semler Grafik- und Layoutarbeiten OHG, Berlin

Please find additional information, contacts and videos on many of the specialist departments and symptoms on our homepage, www.asklepios.com/barmbek

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