Rodriguez, Jeffrey S.

HRN: 12 76 51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/22/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/22/2023
11/28/2023
IV
1.5g
Q6
Cellulitis Left Foot
Waiting Final Action 
11/22/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/22/2023
11/28/2023
IV
600mg
Q8
Cellulitis Left Foot
Waiting Final Action 
11/30/2023
CO-AMOXICLAV 625MG (TAB)
11/30/2023
12/07/2023
PO
1 Tab
TID
Infected Wound
Waiting Final Action 
11/30/2023
CLINDAMYCIN 300MG (CAP)
11/30/2023
12/07/2023
PO
1 Tab
TID
Infected Wound
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: