Espinosa, Jason T.

HRN: 26-51-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/11/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/11/2025
01/19/2025
IV
1.5gm
Tid
Pneumonia
Waiting Final Action 
01/11/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/11/2025
01/18/2025
IV
600mg
Qid
Pneumonia
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: