Sumpo, Socrates R.

HRN: 27-03-78  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/26/2025
CEFTAZIDIME 1GM (VIAL)
04/26/2025
05/03/2025
IV
1g
Q8
Diabetic Foot
Waiting Final Action 
04/26/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/26/2025
05/03/2025
IV
600mg
Q6
Diabetic Foot
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: