Antimicrobial Stewardship Tracer Date & Time: Unit: Standard Met Not Met If not Comments – met, document the non-compliance issues Leadership has Define how this has established happened. Examples antimicrobial include IC Plan, PI Plan, stewardship as a data collection. priority. Ask staff about Education is required antimicrobial at hire/credentialing resistance and the and then periodically. stewardship program. Ask LIPs to describe the LIPs should be organization’s educated at Antimicrobial credentialing and then stewardship program. periodically. Ask LIPs how they participate in educating the patient. Ask RNs how they educate patients. Ask to see documentation of the education. If the patient is Check the doses of prescribed an antibiotic, how many antibiotic, review the antibiotics, patient EMR for diagnosis, reason appropriateness. antibiotics are ordered, C&S report. Ask pharmacy what their role is in
Antimicrobial Stewardship Tracer Date & Time: Unit: Standard Met Not Met – If not met, document the non-compliance issues Comments Leadership has established antimicrobial stewardship as a priority. Define how this has happened. Examples include IC Plan, PI Plan, data collection. Ask staff about antimicrobial resistance and the stewardship program. Education is required at hire/credentialing and then periodically. Ask LIPs to describe the organization’s Antimicrobial stewardship program. LIPs should be educated at credentialing and then periodically. Ask LIPs how they participate in educating the patient. Ask RNs how they educate patients. Ask to see documentation of the education. If the patient is prescribed an antibiotic, review the EMR for appropriateness. Check the doses of antibiotic, how many antibiotics, patient diagnosis, reason antibiotics are ordered, C&S report. Ask pharmacy what their role is in
Antimicrobial%20Stewardship%20Tracer.docx