Medriano, Rolan .

HRN: 28-88-27  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/18/2026
CEFAZOLIN 1GM (VIAL)
04/18/2026
04/24/2026
IV
1g
Q8
Transected Achilles Tendon Left
Remove - Pending Acceptance
04/18/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/18/2026
04/24/2026
IV
600mg
Q6
L Achilles Tendon Rupture
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: