Jose, Romeo E.

HRN: 24-54-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/05/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/05/2024
02/12/2024
IV
600mg
Q6
Submandibular Abscess
Checking Final Appropriateness 
02/05/2024
LEVOFLOXACIN 500MG (TAB)
02/05/2024
02/12/2024
PO
500mg
Od
Submandibular Abscess
Checking Final Appropriateness 
02/05/2024
MUPIROCIN 2%, 15G (TUBE)
02/05/2024
02/12/2024
TOPICAL
Topical
BID
Submandibular Abscess
Checking Final Appropriateness 
02/07/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/07/2024
02/14/2024
IV
1.5g
Q8hrs
Submandibular Abscess
Checking Final Appropriateness 
02/12/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/12/2024
02/19/2024
IV
300mg
Q6H
Submandibular Abscess
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: