Eballena, Marina N.

HRN: 18-83-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/10/2025
CEFTRIAXONE 1G (VIAL)
07/10/2025
07/17/2025
IVTT
2G
OD
FOREIGN BODY INGESTION (FISH SPINE)
Remove - Pending Acceptance
07/11/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/11/2025
07/17/2025
IV
600mg
Q8
S/P Diagnostic Direct Laryngoscopy And Esophagospcopy
Remove - Pending Acceptance
07/11/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/11/2025
07/17/2025
IV
500mg
Q8
S/p Laryngoscopy And Esophagoscopy
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: