Partnering with Families

on the Antibiotic Stewardship Journey

Gail Harris
Adam Blake
 Creating and Implementing a
Parent FAQ Tool

1. Steal Shamelessly
2. Make it Your Own
3. Present it to Family Advisory Council
4. Trial It
Shameless Steal
 Making It Our Own

Input from interdisciplinary team

Parent
Input
Provider (Adam)
Input

Nursing
Input
 Parent FAQ Tool Trialed
5 Questions to Ask Your Babys Doctor
About Antibiotics


Its important to know why your baby is getting antibiotics. Its important to know if they are
needed and when they can be stopped. Antibiotic Tracking Form
These questions can help you talk with your babys doctor about antibiotic use. Date Antibiotic Given Dose # (for Babys Symptoms Notes
(for example: example: #2) (for example: slow heart rate, (for example: 2nd blood
1. Why does my baby need antibiotics? Antibiotics fight bacterial infections. They do Gentamicin) decreased breathing, not culture came back
not fight viruses. They do not fight other illnesses that can give symptoms like bacterial feeding well, more sleepy than positive for bacteria)
infections. Ask your babys doctor if your baby has a bacterial usual, pale, clammy, diarrhea)
infection.

2. What are the risks? Some antibiotics can cause side effects like
vomiting, and diarrhea. If used when not needed, antibiotics may not
work when your baby does need them.

3. Are there simpler, safer options?
Ask your babys doctor if antibiotics are the best plan.
4. How will I know if my baby still needs antibiotics? The amount of time your baby
needs antibiotics may depend on their symptoms. The amount of time may also depend on
when the tests for infection become negative. Ask your babys doctor for the signs and
symptoms to look for in your baby.
5. When can the antibiotics be stopped? Its important to talk to your babys doctor
about when they think it is safe to stop antibiotics. If your baby is given antibiotics, you can
use the form on the back of this sheet. It will help you keep track of the medicines your
baby has gotten. It will also keep track of the doses, and how they have helped your
babys symptoms.

This form was made with the help of http://www.choosingwisely.org/
Lessons Learned
 PDSAs

PDSA#3

PDSA
#2

PDSA #1
Data: Provider Survey

1. Role?
2. Knowledge of ASNS?
3. Knowledge of Parent FAQ Tool?
4. Tool Use?
5. Most Frequent Parent Question
Asked?
6. Frequency of Parent Questions?
7. Comfort Answering Parent
Questions?
8. What would you change?
 Responses
Role?
16 respondents

25% MD; 75% NP

Knowledge of ASNS?
100%
Knowledge of Parent Tool?
100%
Tool Use?
12.5% (2 of 16)
Most Frequent Parent Question Asked?
39 Invitations

Risks of antibiotic use: 100% (3 respondents)

# of Parent Questions?
75% no change; 6.25% less; 18.75% few more
Comfort Answering Parent Questions?
very comfortable or comfortable: 93.75%; very uncomfortable: 6.25%
What would you change about the tool?
87.5% nothing
 Data: Parent Survey
Did you receive information about antibiotics?

1.How did you get this informationdiscussion?...FAQ

sheet?...both?

1.How much did you know about antibiotics before?

1.Did you learn anything new?

8 Question Survey

1.Will you use what you learned to help you ask future questions?

1.Did anyone ask you if you had any questions about antibiotics?

1.Did you ask any questions about antibiotics?

1.What could have made the learning easier?

 Responses
Did you receive information about antibiotics?
100% yes
1.How did you get this information?
1.50% FAQ sheet and bedside discussion; 50% bedside discussion
1.How much did you know about antibiotics before?
1.50% a little; 50% general knowledge
1.Did you learn anything new?
1.50% more detail; 50% nothing new
1.Will you use what you learned to help you ask future questions?
1.50% no; 50% yes, will absolutely help with asking future
questions
1.Did anyone ask you if you had any questions about antibiotics?
1. 75% yes; 25% no
1.Did you ask any questions about antibiotics?
1.100% no
N= 4

1.What could have made the learning easier?

1.75% nothing; 25% would like to have FAQ sheet too
 Lessons Learned

Engagement

All interdisciplinary teams

Education
Ownership
 Barriers to Success

Barriers to Tool

Accessibility/Availability
Best time to receive?
 Next Steps

Education
Accessibility
Leverage Technology
All In
Questions?