Dalis, Jayther T.

HRN: 14-32-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/06/2023
07/12/2023
IVT
300mg IVT
Q6
Lacerated Wound Penile Shaft Sec To VA
Waiting Final Action 
07/06/2023
CEFAZOLIN 1GM (VIAL)
07/06/2023
07/12/2023
IVT
1g
Q8
T/c Transurethral Injury Sec To VA
Waiting Final Action 
07/06/2023
CEFUROXIME 1.5GM (VIAL)
07/06/2023
07/12/2023
IVT
1.5g
Q8
T/c Transurethral Injury Sec To VA
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: