Prescribing Guidelines
Infectious Diseases consultants should be contacted by phone or by Maestro request for Restricted Antimicrobial Consult or for ID Bedside Consult to obtain approval for restricted antimicrobials.
Orders for new starts of restricted agents that do not meet “Per Protocol” criteria, must be accompanied by either a Request for Restricted Antimicrobial Consult (for telephone/chart review agents) or an ID consult (Table 1, Column 1). These consult orders are incorporated in panels for restricted agents at all times of day.
Per protocol exceptions outlined in DUH medication policy are outlined on CustomID, FormWeb, and incorporated into the order entry processes and LMAs for specific agents. For these specified indications and agents, ordering clinicians should select “Per Protocol” instead of listing the approving ID consultant’s name.
- Doses may be dispensed prior to ID consult if verbal or written ID approval has been granted.
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Cases in which the primary team and ID do not agree on approval will be escalated to the ASET Program Directors, or if necessary, the Chairs of DUH P&T and Children’s P&T or the Chief Pharmacy Officer, for review if appropriate ID approval is not obtained.
See details of restricted antimicrobials policy and workflow in the attachment section, on individual pages, or find a summary chart here