Padayhag, Wenrite R.

HRN: 25-25-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/09/2024
CEFTRIAXONE 1G (VIAL)
06/09/2024
06/16/2024
IV
2g
Q24
Lacerated Wound
Waiting Final Action 
06/09/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/09/2024
06/16/2024
IV
600mg
Q8
Lacerated Wound
Waiting Final Action 
06/10/2024
MUPIROCIN 2%, 15G (TUBE)
06/10/2024
06/17/2024
TOPICAL
15g
BID
Multiple Abrasions Sec To MVA
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: