Ocay, Emma C.

HRN: 21-21-31  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/23/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/23/2025
03/30/2025
IVTT
1.5gr
Q8
Infected Wound
Waiting Final Action 
03/23/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/23/2025
03/30/2025
IVTT
600mg
Q6H
Infected Wound
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: