Balar, Fortunata .

HRN: 00-17-40  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/18/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/18/2025
06/25/2025
IV
1.5 Gm
Q 6h
Infected Wound Anterior Chest Sec To Flame Burn Injury
Checking Initial Appropriateness 
06/18/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/18/2025
06/25/2025
IV
600 Mg
Q6h
Infected Wound Anterior Chest Sec To Flame Burn Injury
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: