Sandiala, Beltran A.

HRN: 02-42-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/04/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/04/2024
05/11/2024
IV
300mg
Q6
Infected Punctured Wound
Waiting Final Action 
05/04/2024
CEFTRIAXONE 1G (VIAL)
05/04/2024
05/11/2024
IV DRIP
2gm
OD
Infected Punctured Wound
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: