Bontilao, Roland B.

HRN: 20-89-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/03/2022
AMPICILLIN 1GM (VIAL)
06/03/2022
06/09/2022
IV
1.5G
Q8
Wound Infection
Waiting Final Action 
06/03/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/03/2022
06/09/2022
IV
600 Mg
Q8
Wound Infection
Waiting Final Action 
02/06/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/06/2024
02/12/2024
IVT
600mg
Q6
Infected Wound Right Arm
Waiting Final Action 
02/06/2024
CEFTRIAXONE 1G (VIAL)
02/06/2024
02/12/2024
IVT
2g
OD
UTI
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: