Olandag, Digna S.

HRN: 27-58-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2025
CEFTRIAXONE 1G (VIAL)
08/06/2025
08/12/2025
IV
600
Q6
DM FOOT WAGNER 4
Remove - Pending Acceptance
08/06/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/06/2025
08/12/2025
IV
600
Every 6 Hours
DM FOOT
Remove - Pending Acceptance
08/06/2025
CEFTRIAXONE 1G (VIAL)
08/06/2025
08/12/2025
IV
2 Grams
IV Drip OD
DM Foot
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: