Antibiotic Stewardship Tools for Long-Term Care Facilities

Example Tools, Templates, and Quick Reference Guides

  • AHRQ 4 Moments of Antibiotic Decision Making (.pdf)
  • Antibiotic Spectrum Activity of Common Oral Antibiotics (.pdf)
  • Example Long-Term Care Antimicrobial Stewardship Gap Analysis Tool (.doc / .pdf)
  • Example Long-Term Care Antimicrobial Stewardship Policy Template (.doc / .pdf)
  • Example Long-Term Care Antimicrobial Use Comprehensive Tracking Tool (.xls)
  • Example Long-Term Care Antimicrobial Use Foundational Tracking Tool (.xls)
  • Example Long-Term Care Antimicrobial Utilization Report Template (.doc)
  • Example Long-Term Care Commitment Letter Template (.doc / .pdf)
  • Example Long-Term Care Commitment Poster Template (.doc / .pdf)
  • Example Long-Term Care Suscepted CDI SBAR (.doc / .pdf)
  • Example Long-Term Care Suscepted LRTI SBAR (.doc / .pdf)
  • Example Long-Term Care Suscepted SSTI SBAR (.doc / .pdf)
  • Example Long-Term Care Suscepted UTI SBAR (.doc / .pdf)
  • Example Minimum Criteria for Initiation of Antibiotics Reference Sheet (.doc / .pdf)
  • Example Resident Drug Allergy Assessment Tool (.doc / .pdf)
  • Example Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults - Antibiotics (.doc / .pdf)
  • Example Updated McGeer Criteria for Infection Surveillance Tool (.doc / .pdf)