Ayon, Salve S.

HRN: 21-40-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/26/2023
CIPROFLOXACIN 500MG (TAB)
05/26/2023
06/02/2023
PO
500mg
BID
Complicated Uti
Waiting Final Action 
05/27/2023
CEFUROXIME 1.5GM (VIAL)
05/27/2023
06/03/2023
IV
1.5gram
Q8hrs
Complicated UTI
05/29/2023
CLINDAMYCIN 150MG (CAP)
05/29/2023
06/05/2023
PO
300mg
TID
Non Healing Wound
Waiting Final Action 
05/31/2023
CEFTRIAXONE 1G (VIAL)
05/31/2023
06/06/2023
IV
2gm
OD
Infected Wound; Osteomyelitic Changes
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: