Sumagop, Juanito E.

HRN: 26-68-48  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/14/2025
02/20/2025
IV
600mg
Q6h
Cellulitis Right Leg
Waiting Final Action 
02/14/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/14/2025
02/20/2025
IV
1.5
Q6h
Cellulitis R 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: