Montaño, Belmar S.

HRN: 23-58-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
08/23/2023
08/30/2023
IV
1.5grams
Q8hrs
Pressure Ulcer
Waiting Final Action 
08/26/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/26/2023
09/01/2023
IV
600
Q8H
Soft Tissue Infection
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: