Yanoyan, Leonilo J.

HRN: 13-98-42  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/22/2022
CEFTRIAXONE 1G (VIAL)
05/22/2022
05/28/2022
IV
2g
Q 24H
Gangrenous Wound
Waiting Final Action 
05/22/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/22/2022
05/29/2022
IV
600mg
Q 8H
Gangrenous Wound
Waiting Final Action 
05/26/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/26/2022
06/01/2022
IV
600mg
Q6
Gangrenous Wound, Left Foot
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: