Prasco, Restituto .

HRN: 28-46-06  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/28/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/28/2026
02/04/2026
IV
600mg
Q8hr
Non-healing Wound
Checking Initial Appropriateness 
01/31/2026
CEFTAZIDIME 1GM (VIAL)
01/31/2026
02/07/2026
IV
1g
Q8H
Nonhealing Wound
Checking Initial Appropriateness 
02/03/2026
MUPIROCIN 2%, 15G (TUBE)
02/03/2026
02/09/2026
TOPICAL
15g Tube
Bid
Bed Sores
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: