Puerto, Estela D.

HRN: 22-89-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/01/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/01/2024
06/07/2024
IV
600 Mg
Q6
Infected Wound, 5th Digit Of Left Foot
Waiting Final Action 
06/01/2024
MUPIROCIN 2%, 15G (TUBE)
06/01/2024
06/07/2024
TOPICAL
Apply On Affected Area
OD
Infected Wound, 5th Digit Of Left Foot
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: