Belloan, June B.

HRN: 24-78-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/03/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/03/2024
04/10/2024
600MG
IV
Q6H
Non Healing Wound, Left Hand
Waiting Final Action 
04/03/2024
CEFTRIAXONE 1G (VIAL)
04/03/2024
04/10/2024
IV
2 Grams
Q24H
Non Healing Wound, Left Hand
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: