Integrating bedside nurses into antibiotic stewardship: A practical approach

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Elizabeth MonseesValeria Fabre

Abstract

Nurses view patient safety as an essential component of their work and have reported a general interest in embracing an antibiotic steward role. However, antibiotic stewardship (AS) functions have not been formally integrated into nursing practice despite nurses' daily involvement in clinical activities that impact antibiotic decisions (e.g., obtaining specimens for cultures, blood drawing for therapeutic drug monitoring). Recommendations to expand AS programs to include bedside nurses are generating support at a national level, yet a practical guidance on how nurses can be involved in AS activities is lacking. In this review, we provide a framework identifying selected practices where nurses can improve antibiotic prescribing practices through appropriate obtainment of Clostridioides difficile tests, appropriate urine culturing practices, optimal antibiotic administration, accurate and detailed documentation of penicillin allergy histories and through the prompting of antibiotic time outs. We identify reported barriers to engagement of nurses in AS and offer potential solutions that include patient safety principles and quality improvement strategies that can be used to mitigate participation barriers. This review will assist ...Continue Reading

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Citations

Jan 23, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Sumit RaybardhanPavani Das
Aug 7, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·William G GreendykeEileen J Carter
Aug 18, 2020·Pediatric Health, Medicine and Therapeutics·J Michael Klatte
Dec 2, 2020·Critical Care Nurse·Allison M L Sloan, Linda Dudjak
Feb 2, 2021·American Journal of Infection Control·Mary Jo KnoblochNasia Safdar
Feb 18, 2021·Journal of the Pediatric Infectious Diseases Society·Jeffrey S GerberUNKNOWN AAP Committee on Infectious Diseases and Pediatric Infectious Diseases Society
Mar 2, 2021·International Journal of Nursing Studies·Fiona GottersonElizabeth Manias
Mar 20, 2021·Clinical Journal of Oncology Nursing·Sejal MorjariaErica Fischer-Cartlidge
Sep 3, 2021·Home Healthcare Now·Shafii Mohammed, Lisa Gorski
Dec 30, 2020·Pediatrics·Jeffrey S GerberUNKNOWN COMMITTEE ON INFECTIOUS DISEASES, PEDIATRIC INFECTIOUS DISEASES SOCIETY
Jan 25, 2022·Infectious Diseases and Therapy·Tracy N ZemblesSarah K Parker
Jan 14, 2020·American Journal of Infection Control·Elizabeth MonseesLori Popejoy

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