Apilan, Faustino .

HRN: 27-60-54  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/05/2025
08/12/2025
IV
600mg
Q6H
Cellulitis Right Foot
Remove - Pending Acceptance
08/08/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
08/08/2025
08/15/2025
IV
1.5gm
Q6
Cellulitis
Remove - Pending Acceptance
08/16/2025
CLOXACILLIN 500MG (CAP)
08/16/2025
08/29/2025
PO
500mg
Q6hours
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: