Momo, Nestor C.

HRN: 21-51-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/25/2022
CEFTRIAXONE 1G (VIAL)
06/25/2022
07/02/2022
IV
2g
Q 24H
Multiple Nonhealing Wounds
Waiting Final Action 
06/25/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/25/2022
07/02/2022
IV
600mg
Q8H
Multiple Nonhealing Wounds
Waiting Final Action 
06/25/2022
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
06/25/2022
06/30/2022
TOPICAL
1%
OD
Non Healing 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: