Sua, Helen B.

HRN: 23-70-18  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2023
CEFTRIAXONE 1G (VIAL)
09/09/2023
09/15/2023
IV
2g
OD
CAP-Mr
Waiting Final Action 
09/12/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
09/12/2023
09/18/2023
IV
1.5gm
Q6
Cap Mr
Waiting Final Action 
09/12/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
09/12/2023
09/18/2023
IV
600mg
Q6
Cap Mr Tc Abscess Left Lower Lobe
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: