Bacsan, Jovelyn O.

HRN: 07-94-58  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/27/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/27/2023
12/04/2023
IV
600mg
Q6
Cutaneous Abscess
Waiting Final Action 
11/27/2023
CIPROFLOXACIN 500MG (TAB)
11/27/2023
12/04/2023
PO
500mg
BID
Complicated Uti
Waiting Final Action 
11/29/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/29/2023
12/06/2023
IV
1.5gram
Q6
Infected Wound
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: