Dosdos, Rogelio M.

HRN: 23-78-93  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/29/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
09/29/2023
10/06/2023
IV
1.5grams
Q6hrs
DM Foot, Left
Waiting Final Action 
09/29/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
09/29/2023
10/06/2023
IV
600 Mg
Q6hrs
DM Foot, Left
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: