Gaco, Edwin A.

HRN: 24-02-68  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/05/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/05/2023
11/12/2023
IV
4.5 Grams
Q6H
DM FOOT RIGHT
Waiting Final Action 
11/05/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/05/2023
11/12/2023
IV
600mg
Q6H
DM FOOT RIGHT
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: