Belaño, Remedios S.

HRN: 21-33-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/30/2023
CEFTRIAXONE 1G (VIAL)
11/30/2023
12/06/2023
IV
2 Grams
OD
Infected Wound
Waiting Final Action 
11/30/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/30/2023
12/13/2023
IV
600
Q 8 Hours
Infected Wound
Waiting Final Action 
12/08/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
12/08/2023
12/15/2023
TOPICAL
1%
BID
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: