Gemar, Ruben N.

HRN: 01-54-79  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/19/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/19/2023
01/26/2023
IV
1.5gram
Q6hrs As IV Infusion
Infected Wound At Left Hand
Waiting Final Action 
01/19/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/19/2023
01/27/2023
IV
600mg
Q8hrs
Infectwd Wound Left Hand
Waiting Final Action 
01/19/2023
MUPIROCIN 2%, 15G (TUBE)
01/19/2023
01/26/2023
TOPICAL
2%
BID
Infected Wound Left Hand
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: