Delan, Jesus E.

HRN: 26-95-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/14/2025
CEFTAZIDIME 1GM (VIAL)
04/14/2025
04/20/2025
IVT
1g
Q12
Infected Wound Left; R/o Osteomyelitis
Waiting Final Action 
04/14/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/14/2025
04/20/2025
IVT
600mg
Q8
Infected Wound Left; R/o Osteomyelitis
Waiting Final Action 
04/18/2025
CLOXACILLIN 500MG (CAP)
04/18/2025
04/25/2025
PO
500mg
Q6
DM Foot, Left
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: