Pepania, Larry Boy J.

HRN: 26-27-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/20/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/20/2024
11/27/2024
IV
1.5gm
Q6H
Generalized Exfoliative Dermatitis With Duperimposed Bacterial Infection
Waiting Final Action 
11/20/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/20/2024
11/27/2024
IV
600mg
Q6H
Generalized Exfoliative Dermatitis With Duperimposed Bacterial Infection
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: