Saliladja, Jay W.

HRN: 25-51-29  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/17/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/17/2024
07/17/2024
IV INFUSION
600mg
Q8H
SEPTIC SHOCK PROB SEC TO RUPTURED TOPHI
Waiting Final Action 
07/17/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/17/2024
07/24/2024
IV INFUSION
4.5GM
Q8H
SEPTIC SHOCK PROB SEC TO RUPTURED TOPHI
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: