ANTIBIOTIC REVIEW LOG Enter if you don’t have “NA” sufficient information to make a judgement Ordered Duration Was the order Was the duration at this documented appropriate? longer than needed? Date Date hospital? at time of Ordered Discontinued Antibiotic name Indication (Y/N) order (Y/N)
ANTIBIOTIC REVIEW LOG Enter “NA” if you don’t have sufficient information to make a judgement Antibiotic name Ordered at this hospital? (Y/N) Date Ordered Indication Duration documented at time of order (Y/N) Date Discontinued Was the order appropriate? Was the duration longer than needed?