Pua, Abdulhakim G.

HRN: 21-64-68  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/24/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/24/2022
07/31/2022
IV
600
Q6
Infected Wound
Waiting Final Action 
07/24/2022
CEFTRIAXONE 1G (VIAL)
07/24/2022
07/31/2022
IV
1g
Q12
Infected Woudn
Waiting Final Action 
07/25/2022
CEFTAZIDIME 1GM (VIAL)
07/25/2022
07/31/2022
IV
2g
Q8h
DM Foot
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: