Gong, Carlito H.

HRN: 03-70-22  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/29/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
10/29/2024
11/05/2024
IV
600mg
Q8
Cellulitis Right Thigh
Waiting Final Action 
10/29/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/29/2024
11/06/2024
IV
1.5gm
Q6
Soft Tissue Infection
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: