Marmojada, Cherry Lou .

HRN: 27-16-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/15/2025
CEFAZOLIN 1GM (VIAL)
08/15/2025
08/16/2025
IV
1Gram
Now
For STAT CS
Checking Initial Appropriateness 
08/15/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/15/2025
08/15/2025
IV
900mg
Q8h
S/P LTCS
Checking Initial Appropriateness 
08/15/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
08/15/2025
08/18/2025
IV
240mg
OD
S/P LTCS
Checking Initial Appropriateness 
08/15/2025
CEFUROXIME 500MG (TAB)
08/15/2025
08/22/2025
PO
1 Cap
BID
S/P LTCS
Checking Initial Appropriateness 
08/15/2025
MUPIROCIN 2%, 15G (TUBE)
08/15/2025
08/22/2025
TOPICAL
Pea Size
OD
S/P LTCS
Checking Initial Appropriateness 
08/17/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/17/2025
08/21/2025
IV
900mg
Q8hrs
S/P LSTCS
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: