Arquiza, Placido .

HRN: 21-47-83  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2022
CEFTRIAXONE 1G (VIAL)
06/23/2022
06/29/2022
IV
1g
Q12
Multiple Lacerations
Waiting Final Action 
06/23/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/23/2022
06/29/2022
IV
600mg
Q8h
Multiple Lacerations
Waiting Final Action 
06/27/2022
MUPIROCIN 2%, 15G (TUBE)
06/27/2022
07/03/2022
TOPICAL
1 Dab
BID
Abrassions
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: