Pangasian, Lyra .

HRN: 28-42-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/05/2026
MUPIROCIN 2%, 15G (TUBE)
02/05/2026
02/11/2026
TOPICAL
Pea Size
OD
Cs
Checking Initial Appropriateness 
02/05/2026
CEFAZOLIN 1GM (VIAL)
02/05/2026
02/05/2026
IV
2 Grams
Ptor
Ltcs
Checking Initial Appropriateness 
02/05/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
02/05/2026
02/06/2026
IV
240mg
Now
Ltcs
Checking Initial Appropriateness 
02/05/2026
CLINDAMYCIN 150MG (CAP)
02/05/2026
02/12/2026
IV
900mg
Q8
Cs Thickly Msaf
Checking Initial Appropriateness 
02/05/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
02/05/2026
02/11/2026
IVTT
900mg
Q8
Thickly Msaf
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: