PEANUTS trial: PErioperative ANtibiotic Use in the Treatment of acute calculous cholecystitiS; a randomized controlled, open, parallel, non-inferiority multicenter trial. Trialnr: NL38015.100.11 Single pre-operative prophylactic dose (cefazoline 2000mg intravenous) Drug accountability form Investigators: Dr. D.Boerma K.Kortram: k.kortram@antoniusziekenhuis.nl // 020 4444444 // sein 7310 // 06 18720896 V.Kornmann: v.kornmann@antoniusziekenhuis.nl // 06 51454145 Local investigator(s): .
For each administered dose! Date and Time Batchnr. Patient (study) number sign 1 sign 2 (= charge nr = LOT nr) Ward doctor Ward nurse (or: pharmacist) (or: pharmacist-assistant)
Date/Name/Sign Monitor:__________________________________________________________________________________ Date/Name/Sign Pharmacist:_______________________________________________________________________________
PEANUTS trial: PErioperative ANtibiotic Use in the Treatment of acute calculous cholecystitiS; a randomized controlled, open, parallel, non-inferiority multicenter trial. Trialnr: NL38015.100.11 Postoperative: Metronidazol 500 mg intravenous (3dd) Drug accountability form Investigators: Dr. D.Boerma K.Kortram: k.kortram@antoniusziekenhuis.nl // 020 4444444 // sein 7310 // 06 18720896 V.Kornmann: v.kornmann@antoniusziekenhuis.nl // 06 51454145 Local investigator(s): .
For each administered dose! Postoperative Batchnr. Patient (study) number sign 1 sign 2 day and date (= charge nr = LOT nr) Ward doctor Ward nurse (or: pharmacist) (or: pharmacist- assistant)
Date/Name/Sign Monitor:__________________________________________________________________________________ Date/Name/Sign Pharmacist:_______________________________________________________________________________
PEANUTS trial: PErioperative ANtibiotic Use in the Treatment of acute calculous cholecystitiS; a randomized controlled, open, parallel, non-inferiority multicenter trial. Trialnr: NL38015.100.11 Postoperative: Cefuroxime 750mg intravenous (3dd) Drug accountability form Investigators: Dr. D.Boerma K.Kortram: k.kortram@antoniusziekenhuis.nl // 020 4444444 // sein 7310 // 06 18720896 V.Kornmann: v.kornmann@antoniusziekenhuis.nl // 06 51454145 Local investigator(s): .
For each administered dose! Postoperative Batchnr. Patient (study) number sign 1 sign 2 day and date (= charge nr = LOT nr) Ward doctor Ward nurse (or: pharmacist) (or: pharmacist- assistant)
Date/Name/Sign Monitor:__________________________________________________________________________________ Date/Name/Sign Pharmacist:_______________________________________________________________________________
DAVID A. YEAGER, DPM, FASPS, FACFAS Practice Information: KSB Foot and Ankle Center/ Wound Care Center Dixon, IL 61021 Residency Director of KSB Hospital; Podiatric Medicine and Surgery Residency with Reconstructive Rearfoot/Ankle Surgery Clinical Assistant Professor in the Department of Family and Community Medicine at the University of Illinois College of Medicine at Rockford C
Core Measures Memo Cards Congestive Heart Failure Pneumonia - patients 18 & older ● Physician orders complete on CHF standing order set ● Obtain blood cultures before administering first antibiotic ● ECHO ordered or previous copy to chart and ● Initial antibiotics received within 6 hours of arrival; Acute RN to ask ED RN if cx and abx completed ● ACE Inhibitors/