Sakmon, Rasil .

HRN: 20-19-11  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/10/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/10/2022
07/17/2022
IVT
570mg
Q8
Fracture Open Complete Displaced Oblique Tibia Fibula M3rd R
Waiting Final Action 
07/10/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/10/2022
07/17/2022
IVT
170
Q6
Fracture Open Complete Displaced Oblique Tibia Fibula M3rd R
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: