Rajil, Baltazar .

HRN: 21-88-54  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2022
OXACILLIN 500MG (VIAL)
09/09/2022
09/16/2022
IVT
1g
Q6
Cellulitis, R Leg
Waiting Final Action 
09/09/2022
CEFTRIAXONE 1G (VIAL)
09/09/2022
09/16/2022
IVT
1.5g
Q12
Cellulitis, Right Leg; UTI
Waiting Final Action 
09/15/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
09/15/2022
09/21/2022
IVT
365mg
Q6hrs
Soft Tissue Infection
Waiting Final Action 
09/15/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/15/2022
09/21/2022
IVT
3g
Q6hrs
Soft Tissue Infection
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: