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
02/23/2023
CEFTAZIDIME 1GM (VIAL)
02/23/2023
03/01/2023
IV
1g
TID
Non-healing Wound; UTI
Waiting Final Action 
02/23/2023
CLOXACILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
02/23/2023
03/01/2023
IV
600mg
TID
Non-healing Wound; UTI
Waiting Final Action 
02/23/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/23/2023
03/01/2023
IV
600mg
TID
Non-healing Wound; UTI
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: