Canario, Norma T.

HRN: 06-06-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/06/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
10/06/2022
10/12/2022
IV
600mg
Q6
Infected Wound Rigjt Foot
Waiting Final Action 
10/06/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/06/2022
10/12/2022
IV
1.5gm
Q8
Infected Wound Right Foot
Waiting Final Action 
10/11/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/11/2022
10/17/2022
IV
4.5gm Now Then 2.25
Q12
Infected Wound Right Foot
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: