Basao, Enerio .

HRN: 27-98-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/26/2026
CEFTRIAXONE 1G (VIAL)
01/26/2026
02/04/2026
IV
1G
BID
DM FOOT, LEFT
Checking Initial Appropriateness 
01/26/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/26/2026
02/01/2026
IV
300MG
Q8
DM FOOR, LEFT
Checking Initial Appropriateness 
01/30/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/30/2026
02/09/2026
IV
600
Q8
DM Foot
Checking Initial Appropriateness 
02/06/2026
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
02/06/2026
02/12/2026
IV
750mg
Q24
CAP HR, Aspiration Pneumonia
Checking Initial Appropriateness 
02/06/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/06/2026
02/12/2026
IV
4.5gm
Q6
CAP HR, Aspiration Pneumonia
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: