Balat, Jhay F.

HRN: 24-62-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/20/2024
CLINDAMYCIN 300MG (CAP)
02/20/2024
02/27/2024
ORAL
600mg
Q8
DM Foot
Waiting Final Action 
02/20/2024
CEFTAZIDIME 1GM (VIAL)
02/20/2024
02/27/2024
IVTT
2grams
Q8H
DM Foot
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: