Am-is, Maria Fe C.

HRN: 24 47 43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/31/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/31/2024
02/06/2024
IV
4.5gm
Q6
Septicemia
Waiting Final Action 
01/31/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/31/2024
02/06/2024
IV
600mg
Q8
Septicemia
Waiting Final Action 
01/31/2024
MUPIROCIN 2%, 15G (TUBE)
01/31/2024
02/06/2024
TOPICAL
Apply BID
BID
Soft Tissue Infection
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: