Jaectin, Ronie S.

HRN: 26-42-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/24/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
12/24/2024
12/31/2024
IV
600mg
Q6
ABSCESS
Waiting Final Action 
12/24/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/24/2024
12/31/2024
IV
1.5g
Q6h
ABSCESS
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: