Cumahig, Ricardo S.

HRN: 22-82-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/09/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/09/2023
04/16/2023
IV
1.5g
Q6
Infected Wound, Left Foot
Waiting Final Action 
04/09/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/09/2023
04/16/2023
IV
600mg
Q8
Infected Wound, Left Foot
Waiting Final Action 
04/15/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/15/2023
04/21/2023
IV
4.5g
Q8
DM Foot, Sepsis
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: