Aclo, Narciso C.

HRN: 06-29-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2025
CEFTRIAXONE 1G (VIAL)
08/05/2025
08/12/2025
IV
2G
OD
NON-HEALING WOUND AT RIGHT LEG AND FOOT
Remove - Pending Acceptance
08/05/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/05/2025
08/12/2025
IV
600 MG
Q6
NON-HEALING WOUND AT RIGHT LEG AND FOOT
Remove - Pending Acceptance
08/05/2025
MUPIROCIN 2%, 15G (TUBE)
08/05/2025
08/12/2025
TOPICAL
2%
BID
NON-HEALING WOUND AT RIGHT LEG AND FOOT
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: