Pragamac, Baby Girl .

HRN: 22-56-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/01/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
12/01/2024
12/08/2024
IV
50mg
Q6hours
Acute Otitis Media, Right
Waiting Final Action 
12/01/2024
CEFTRIAXONE 1G (VIAL)
12/01/2024
12/08/2024
IV
1g
Q24hours
Acute Otitis Externa, Rights
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: