Custodio, Alberto .

HRN: 19-38-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/05/2024
CEFTRIAXONE 1G (VIAL)
09/05/2024
09/11/2024
IV
2gms
Q24
Infected Wound
Waiting Final Action 
09/05/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
09/05/2024
09/11/2024
600 MG
IV
Q8
Infected Wound
Waiting Final Action 
09/06/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/06/2024
09/14/2024
IV
2.25gm
Q6H
Infected Wound
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: