Sumignan, Amelia F.

HRN: 22-60-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/07/2023
CEFTRIAXONE 1G (VIAL)
02/07/2023
02/13/2023
IV
2gm
Q24
UTI
Waiting Final Action 
02/08/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/08/2023
02/14/2023
IV
300 Mg
Q6H
Cellulitis, 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: