Pantorilla, Alona D.

HRN: 17-04-05  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/01/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/01/2025
02/02/2025
IVTT
900mg
Q8
S/P CS
Checking Final Appropriateness 
02/01/2025
CEFUROXIME 500MG (TAB)
02/01/2025
02/08/2025
PO
500mg
BID
S/P CS
Checking Final Appropriateness 
02/01/2025
MUPIROCIN 2%, 15G (TUBE)
02/01/2025
02/08/2025
TOPICAL
2%
BID
S/P CS
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: