Go, Epifania C.

HRN: 00-02-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/29/2025
CEFTAZIDIME 1GM (VIAL)
10/29/2025
11/05/2025
IV
2g
OD
CELLULITIS
Checking Final Appropriateness 
11/03/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/03/2025
11/10/2025
IV
600mg
Q8hrs
Cellulitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: