Pepito, Reynaldo P.

HRN: 18-20-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/12/2023
CEFTRIAXONE 1G (VIAL)
09/12/2023
09/18/2023
IV
2gm
Q24H
UTI
Checking Final Appropriateness 
04/02/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/02/2025
04/09/2025
IV
600mg
Q8
Non Healing 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:



 If inappropriate:

              

Overall appropriateness: