Magpale, Marites S.

HRN: 23-12-14  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/28/2023
06/04/2023
IV INFUSION
1.5gms
Q8h
Non Healing Infected Wound, Right Foot
Checking Final Appropriateness 
05/28/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/28/2023
06/04/2023
IV
600mg
Q6H
Non Healing Infected Wound, Right Foot
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: