Ganaway, Carlito B.

HRN: 26-00-58  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/15/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/15/2024
10/21/2024
IVTT
1.5 G
Q6
Sepsis, Infected Wound
Waiting Final Action 
10/17/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
10/17/2024
10/24/2024
IV
600mg
Q6hrs
Infected Wound; Sepsis
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: