Lumeran, Jerald Kurt D.

HRN: 21-74-74  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/15/2024
CEFTRIAXONE 1G (VIAL)
04/15/2024
04/22/2024
IV
1.5g
Q24
Cellulitis
Waiting Final Action 
04/15/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/15/2024
04/22/2024
IV
150mg
Q6
Cellulitis
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: