Ibanez, Erlan C.

HRN: 07-10-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/07/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/07/2022
10/14/2022
IV
1.5G
Q8
INFECTED AVULSED WOUND
Waiting Final Action 
10/07/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
10/07/2022
10/13/2022
IV
600MG
Q6
INFECTED ALVULSED WOUND
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: