Tambus, Domer L.

HRN: 22-69-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/03/2023
CEFTRIAXONE 1G (VIAL)
03/03/2023
03/17/2023
IV
2 Grams
OD
Dm Foot
Waiting Final Action 
03/03/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/03/2023
03/24/2023
IV
600 Mg
Q6
Dm Foot
Waiting Final Action 
03/05/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/05/2023
03/20/2023
IV
4.5
Q8
Dm Foot Big Toe Right
Waiting Final Action 
05/04/2024
CEFTRIAXONE 1G (VIAL)
05/04/2024
05/11/2024
IVT
2g
Q24h
CAP MR Vs PTB Relapse
Waiting Final Action 
05/04/2024
AZITHROMYCIN 500MG TABLET (TAB)
05/04/2024
05/11/2024
PO
500mg
OD
CAP MR Vs PTB Relapse
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: