Fernandez, Jocelyn D.

HRN: 19-19-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/24/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/24/2022
07/01/2022
IV
1.5gram
Q6hrs
Septicemia
Waiting Final Action 
06/24/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/24/2022
07/01/2022
IV
600mg
Q8hrs
Septicemia; Infected Non Healing Wound
Waiting Final Action 
06/24/2022
MUPIROCIN 2%, 15G (TUBE)
06/24/2022
06/30/2022
TOPICAL
2%
BID
Infected Wound
Waiting Final Action 
06/26/2022
AZITHROMYCIN 500MG TABLET (TAB)
06/26/2022
07/02/2022
ORAL
500 Mg
Q24H
CAP-MR
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: