ProjectJOINTSExemplarHospitalApplication

St. Charles Hospital – Port Jefferson, New York

Number of licensed beds: 231

Non-Teaching

Urban

Exemplar Hospital Contact Name:

Email:

Phone: 631-474-6876

We give permission to IHI to make public all the information on this Project JOINTS Exemplar Hospital application.

Enhanced Surgical Site Infections Prevention Bundle element(identify one per sheet): Staphylococcus aureus (SA) screening and use of intranasal mupirocin and CHG bathing or showering to decolonize SA carriers

In a few sentences, describe in what ways your hospital has been successful in implementing this element of the Enhanced Surgical Bundle. Please answer the following questions:

What key changes did your organization make to incorporate or support SA screening – for both methicillin-sensitive and methicillin-resistant Staph aureus –and use of intranasal mupirocin and CHG bathing or showering to decolonize SA carriers? What were the changes in existing processes your organization had to make in order for this to become part of the routine?

Notified the lab of the increase in volume, due to MSSA screening addition (had been doing MRSA prior)

Checked out cost

Agreement by physicians – presented evidence based research

Changes to ordering tests in the computer

Education to PST nurses/NP’s on testing, treating

Changes to policy

Education to Admission nurse for compliance checking

How did you roll out this practice? Did you test it with one patient, a few, or all to start?

All

What lessons have you learned as you've implemented this practice? What tips do you have to share?

Evidence based research is required to get physicians on board

Indicate which statement best summarizes your organization’s level of implementation of this Enhanced Surgical Bundle element:

[x ] This practice is used for at least 95% of hip/knee arthroplasty cases.

[ ] We have a well-tested protocol and use it for some hip/knee arthroplasty cases.