Langcongan, Aisa .

HRN: 09-47-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2024
CEFTRIAXONE 1G (VIAL)
08/06/2024
08/13/2024
IVT
2G
Q24H
Cap Mr; Cellulitis
Waiting Final Action 
08/06/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/06/2024
08/13/2024
IVT
600 Mg
Q6H
Cellulitis
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: