Logoy, Marbe .

HRN: 22-41-08  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/15/2023
AMPICILLIN 250MG (VIAL)
05/15/2023
05/21/2023
IV
165mg
Q6h
PCAP C
Waiting Final Action 
05/17/2023
AMPICILLIN 1GM (VIAL)
05/17/2023
05/24/2023
IVTT
300mg
Q6
Pcap-c
Waiting Final Action 
05/18/2023
CEFTRIAXONE 1G (VIAL)
05/18/2023
05/25/2023
IVTT
650mg
Q24
PCAP
Waiting Final Action 
05/18/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/18/2023
05/25/2023
IVTT
200mg
Q6
Infected Wound
Waiting Final Action 
05/23/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/23/2023
05/29/2023
IVT
950mg
Q8
PCAP C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: