Sabejon, Evelyn N.

HRN: 01-47-80  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/03/2026
CEFTRIAXONE 1G (VIAL)
03/03/2026
03/10/2026
IV
2g
Od
UTI
Remove - Pending Acceptance
03/03/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/03/2026
03/10/2026
IV
300mg
Q6H
Infected Wound, Left Foot
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: