Dacup, Teresita R.

HRN: 11-76-78  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/27/2023
06/02/2023
IV
600 Mg
Q8H
Cellulitis Right Plantar Foot
Waiting Final Action 
05/29/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/29/2023
06/05/2023
IV
1.5gms
Q8
Non Healing Wound
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: