Dialene, Justene Brent .

HRN: 23-82-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/02/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
10/02/2023
10/08/2023
IVT
300mg
Q8
Cellulitis
Waiting Final Action 
10/02/2023
CEFTRIAXONE 1G (VIAL)
10/02/2023
10/08/2023
IVT
2g
Od
Celluitis
Waiting Final Action 
10/07/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/07/2023
10/27/2023
IV DRIP
4g
Q6h
PCAP C
Waiting Final Action 
10/07/2023
OXACILLIN 500MG (VIAL)
10/07/2023
10/27/2023
IV
500mg
Q6
Cellulitis
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: