Sandalan, Jonito D.

HRN: 11-36-09  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/26/2023
CEFTRIAXONE 1G (VIAL)
05/26/2023
06/01/2023
IV
2g
OD
UTI
Checking Final Appropriateness 
07/10/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/10/2023
07/16/2023
İVT
600mg
Tid
Dm Foot
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: