Coot, Orlando .

HRN: 19-20-19  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/21/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/21/2023
07/28/2023
IV
1.5
Q6
Sepsis 2 To Infected Wound
Waiting Final Action 
07/21/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/21/2023
07/28/2023
IV
300
Q6
Sepsis 2 To Infected Wound
Waiting Final Action 
07/22/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/22/2023
07/28/2023
IV
4.5g
Q6
Sepsis Sec To Infected Wound
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: