Madera, Nenita A.

HRN: 27-58-03  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/02/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/02/2025
08/21/2025
IV
600
Q6
Intra Abdominal Abscess
Checking Initial Appropriateness 
08/02/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/02/2025
08/09/2025
IV
500 Mg
Q8 Hrs
Intra Abdominal Abscess
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: