Policy Templates

Sample Job Description for a Clinical Pharmacist

Sample job description from Duke University for a Clinical Pharmacist to manage the antibiotic stewardship program.

Policy Templates

Sample Antibiotic Stewardship Policy

A sample organization-wide antibiotic stewardship policy that includes measures of success.

Policy Templates

Sample 2 Antibiotic Stewardship Policy

A sample organization-wide antibiotic stewardship policy that incorporates a Physician Champion.

Policy Templates

Sample 3 Antibiotic Stewardship Policy

A sample organization-wide antibiotic stewardship policy.

Assessment tools

Medication Tracking Log

A sample tool that can be used to track the use of antibiotics in your organization.

Policy Templates

Antibiotic Soft Stop Order Notice

A tool that be placed on medical records to prompt the physician to either discontinue or reorder antibiotics after 14 days.

Policy Templates

Antibiotic Time Out

A sample policy for re-evaluating the need for continuation of an antibiotic.

Policy Templates

Extended Infusion Auto-substitution for Zosyn

A sample policy to guide pharmacy dosing of Zosyn.

Guidelines/Recommendations

Guidance on Contract Language

Sample language that can be used in a contract with an Infectious Disease Physician to oversee Antibiotic Stewardship...

Policy Templates

IV to PO Conversion Protocol

Sample IV to PO conversion protocol to facilitate transition of IV medications to oral.

Assessment tools

LIP Reassessment of Volume Status and Tissue Perfusion

Tool to facilitate the volume status and tissue perfusion reassessment 6 hours after a patient presents in septic shock.

Policy Templates

Renal Dosing Clarification Order

A sample renal dosing clarification order that can be used by pharmacist when adjusting doses per an approved dosing...

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