Otom, Antonia F.

HRN: 26-64-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/07/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/07/2025
02/15/2025
IV
600mg
Qid
Bullous Impetigo
Checking Final Appropriateness 
02/09/2025
MUPIROCIN 2%, 15G (TUBE)
02/09/2025
02/16/2025
TOPICAL
PEA-SIZE
BID
BULLOUS IMPETIGO
Waiting Final Action 
02/10/2025
MUPIROCIN 2%, 15G (TUBE)
02/10/2025
02/17/2025
TOPICAL
Pea Size
BID
Bullous Impetigo
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: