Monterona, Alicia N.

HRN: 22-69-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/04/2023
CEFAZOLIN 1GM (VIAL)
03/04/2023
03/10/2023
IV
1gm
Q8
Dm Foot Right
Waiting Final Action 
03/04/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/04/2023
03/10/2023
IV
600mg
Q8
DM Foot Left Wagner Grade 3
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: