Villa, Evie .

HRN: 23-60-97  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/28/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/28/2023
09/04/2023
IV
600mg
Q8H
Skin Infection
Waiting Final Action 
08/29/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/29/2023
09/02/2023
PO
500mg
Od
Capmr
Waiting Final Action 
09/01/2023
MUPIROCIN 2%, 15G (TUBE)
09/01/2023
09/07/2023
TOPICAL
Ample Amount
Bid
Superficial Wound Right Foot Medial Aspect
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: