Tools and Templates for Ambulatory Care

Prescriber Tools and Templates

Adult Acute Respiratory Tract Infection (ARI) Management pocket card
(print on B6 or 5″ x 7″ card stock for best result)

Nebraska Outpatient Antibiotic Prescribing Data, 2011 to 2015
(Data that can be used in general antimicrobial stewardship educational slides)

Antimicrobial Stewardship Self-Assessment Tool
(Tool that can be used to assess stewardship practices and identify areas of improvement)

Patient-Directed Tools and Templates

Be Antibiotic Aware Patient Pledge Card
(Pledge card requesting patients to use antibiotic responsibly)

Page last reviewed: February 15, 2021