Saranillo, Juaquina .

HRN: 24-66-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/13/2025
CEFTAZIDIME 1GM (VIAL)
08/12/2025
08/15/2025
IV
1g
Every 6 Hours
Non-healing Wound
Checking Initial Appropriateness 
08/13/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/12/2025
08/15/2025
IV
600mg
Every 8 Hours
Non-healing Wound
Checking Initial Appropriateness 

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: