Kho, Gabriel V.

HRN: 21-53-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/18/2022
07/25/2022
IV
600mg
Q6
Left Foot Swelling
Waiting Final Action 
07/20/2022
CIPROFLOXACIN 500MG (TAB)
07/20/2022
07/26/2022
PO
500mg
BID
Infected Wound Left Leg
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: