Gallemit, Amando S.

HRN: 22-86-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/13/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
04/13/2023
04/18/2023
TOPICAL
15g
BID
Burn
Waiting Final Action 
04/13/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/13/2023
04/20/2023
IV
600 Mg
Q6
S/p Debridement
Waiting Final Action 
04/13/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/13/2023
04/13/2023
IV
4.5
BID
S/p Debridement
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: