Demecillo, Romeo D.

HRN: 23-06-79  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/20/2023
CEFTRIAXONE 1G (VIAL)
05/20/2023
05/27/2023
IV
2 Grams
Q24H
Complicated UTI
Waiting Final Action 
05/25/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/25/2023
06/01/2023
IV
1.5 Grams
Q8H
T/c Soft Tissue Infection
Checking Final Appropriateness 
05/25/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/25/2023
06/01/2023
IV
600 Mg
Q8H
T/c Soft Tissue Infection
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: