Ledesma, Agnes G.

HRN: 18-21-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/05/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/05/2023
03/12/2023
IV
600 Mg
Q6
Infected Wound
Waiting Final Action 
03/05/2023
CIPROFLOXACIN 500MG (TAB)
03/05/2023
03/12/2023
PO
500mg
BID
Infected Wound
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: