Lumpayao, Ronald .

HRN: 20-11-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/14/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/14/2026
01/21/2026
IV
600 MG
Q8h
Infected Wound
Waiting Final Action 
01/15/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/15/2026
01/15/2026
IV
1.5g
Now As LD
Purulent Cellulitis
Waiting Final Action 
01/15/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/15/2026
01/21/2026
IV
750
Q8h
Purulent Cellulitis Right Lower Extremities
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: