Dela Cerna, Dionesio C.

HRN: 25-30-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/17/2024
CEFTAZIDIME 1GM (VIAL)
06/17/2024
06/24/2024
IV
1 Gram
Q8hrs ( ) ANST
DM Foot, Right
Waiting Final Action 
06/17/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/17/2024
06/24/2024
IV
600mg
Q8hrs
DM Foot, Right
Waiting Final Action 
06/18/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/18/2024
06/18/2024
IV
4.5g
LD
Sepsis Sec To DM Foot, Right
Waiting Final Action 
06/18/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/18/2024
06/25/2024
IV
2.25g
Q6H
Sepsis Sec To DM Foot, Right
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: