Mansol, Kahalan W.

HRN: 27-30-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/09/2025
CEFTRIAXONE 1G (VIAL)
06/09/2025
06/16/2025
IV
1g
Q12hours
Typhoid Fever
Waiting Final Action 
06/13/2025
CIPROFLOXACIN 500MG (TAB)
06/13/2025
06/19/2025
ORAL
500mg
Q12
Typhoid Fever
Waiting Final Action 
06/14/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/14/2025
06/21/2025
IV
300MG
Q8
BACTEREMIA: STAPH HOMINIS
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: