Ruste, Eustaquio, Jr. L.

HRN: 21-40-99  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2022
CEFTRIAXONE 1G (VIAL)
05/27/2022
06/03/2022
IV
2g
OD
Diabetic Foot, Wagner V
Waiting Final Action 
05/27/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/27/2022
06/03/2022
IV
600mg
Q8h
Diabetic Foot, Wagner V
Waiting Final Action 
06/06/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/06/2022
06/13/2022
IV
4.5
Q6
Dm Foot Right S/p Aka Right
Waiting Final Action 
06/13/2022
CLINDAMYCIN 300MG (CAP)
06/13/2022
06/19/2022
PO
300mg/cap
TID
Repeat Wound Debridement Of Stump (dm Foot With Gangrene Of Right Foot And Myofascial Abscess Up To Right Distal Thigh)
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: