The document outlines a 3 step workflow for ordering restricted antimicrobials: Step 1 involves justifying the indication based on clinical history, symptoms, and risk of complications. Cultures and investigations are obtained to rule out infection. Step 2 requires prescribing the first dose and getting approval by filling out a restricted antimicrobial form and obtaining unit head or department head approval. The form is then submitted to the pharmacy. Step 3 involves reviewing the case as more information becomes available and deciding whether to continue, stop, or de-escalate the restricted antimicrobial based on the evolving clinical picture and additional test results.