7- Role of each team members ?

Role of Administration or leader

    1. Defining role for each member (accountability)
    2. Supporting team requirements at each level
    3. Releasing SOP for institute 
    4. Maintaining pre-prescription authorization policy
    5. Community level interventions
  • Education on syndromic approach
  • Education about over the counter treatments
  • Incorporation of private hospitals and primary health care facilities 
  • Optimal use of antibiotics in animals/plants

Role of Clinician

  1. Understands the patients’ problems and make right diagnosis
  2. Rapid diagnosis by point of care investigations
  3. Chooses right treatment and communicates with the patient
  4. Ensuring liaison with Nursing staffs, Microbiologist, and Pharmacologist
  5. Review the diagnosis, clinical response, and culture reports as available
  6. Ensuring hospital infection control practices 
  7. Educating fellows, other staffs, and patient population
  8. Data to be collected and reviewed during ID meet regularly

Role of Microbiologist (Laboratory stewardship)

  1. Improving laboratory turnaround time (TAT)
  2. Aggressive reporting of blood culture reports
  3. Guiding the clinicians/staffs regarding proper way of collecting and transporting samples    
  4. Preventing contamination
  5. Computerized culture register 
  6. Coordination with hospital infection committee 

Role of Pharmacologist

  1. Prescription audit and timely feedback
  2. Active prescription surveillance
  3. Convincing practitioners about findings
  4. Coordinate meetings, participate in ID meets
  5. Training beyond department and institute including private and public
  6. Consumption monitoring, pre-authorization, warnings of antimicrobials by pharmacist

Role of Nursing staff

  1. Being checkpoint for drug administration, maintaining own antimicrobial proforma
  2. Document – start date, stop date, change of route, de-escalation, dose adjustments, queries
  3. Timely reminder for all above
  4. Ensure right delivery
  5. Monitor and report adverse events

Role of Public

  1. Always seek the advice of a quali­fied health care professional when taking antibiotics
  2. Not demanding antibiotics if your health worker says you don’t need them
  3. Not sharing antibiotics with others
  4. Not using leftover antibiotics
  5. Not to take antibiotics in viral infections, like colds and flu
  6. Effective waste treatment can protect the environment and reduce antibiotic resistance
  7. Hand Hygiene is the single most important means of preventing the spread of infection
  8. Spreading awareness on antimicrobial resistance
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