Roda, Josephine R.

HRN: 21-45-16  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/04/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/04/2022
06/11/2022
IV
300mg
Q6h
Abscess
Waiting Final Action 
06/04/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/04/2022
06/11/2022
IV
1.5g
Q6h
Abscess
Waiting Final Action 
06/07/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/07/2022
06/13/2022
IV
500mg
Q8
Intraabdominal Infection
Waiting Final Action 
06/07/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/07/2022
06/11/2022
IV
1.5gm
Q6
Abscess
Waiting Final Action 
06/10/2022
CLINDAMYCIN 300MG (CAP)
06/10/2022
06/15/2022
ORAL
300 Mg
Q6
Umbilical Abscess
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: