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Inpatient Antibiotic Assessment
Inpatient Antibiotic Assessment
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Created by Qualaris Staff
Infection Prevention
Critical Access Hospital
Table of Contents
Audit Form
Audit Form
Inpatient Antibiotic Assessment
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Inpatient Antibiotic Assessment Checklist
Mark all as...
Was an indication for abx use documented?
Yes
No
Were cultures collected prior to abx administration?
Yes
No
N/A
If no org isolated within 72 hrs of first dose, were abx discontinued?
Yes
No
N/A
Was the pt initial prescribed an IV abx with good oral bioavailability?
Yes
No
If yes, was the abx changed to an oral abx within 24 hours?
Yes
No
N/A
