Capoy, Gresila B.

HRN: 26-59-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/13/2025
CEFTRIAXONE 1G (VIAL)
03/13/2025
03/19/2025
IV
1gram
Q12
Sacral Ulcer Grade 3
Waiting Final Action 
03/13/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/13/2025
03/19/2025
IV
600mg
Q6
Sacral Ulcer Grade 3
Waiting Final Action 
03/13/2025
MUPIROCIN 2%, 15G (TUBE)
03/13/2025
03/19/2025
TOPICAL
Apply Liberally
BID
Sacral Ulcer Grade 3
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: