Gocela, Catalina .

HRN: 20-25-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/03/2025
02/20/2025
IV
4.5
Q8
Dm Foot
Waiting Final Action 
02/03/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/03/2025
02/20/2025
IV
600mg
Q6
Dm Foot
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: