Miñoza, Genevie M.

HRN: 26-26-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/26/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
11/26/2024
11/26/2024
IV
240mg
1 Dose
S/p Completion Curettage
Waiting Final Action 
11/26/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/26/2024
11/27/2024
IV
900mg
Q8 X 3 Doses
S/p Completion Curettage
Waiting Final Action 
11/26/2024
CLINDAMYCIN 300MG (CAP)
11/26/2024
12/03/2024
PO
300mg
Q8 X 7 Days
S/P Completion Curettage
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: