Achumbre, Edna .

HRN: 01-25-86  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/14/2026
CEFTRIAXONE 1G (VIAL)
03/14/2026
03/20/2026
IV
2g
OD
CAP-MR
Checking Initial Appropriateness 
03/14/2026
AZITHROMYCIN 500MG TABLET (TAB)
03/14/2026
03/18/2026
PO
500mg
OD
CAP-MR
Checking Initial Appropriateness 
04/10/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/10/2026
04/16/2026
IV
4.5gm LD Then 2.25gm Q8
Q8
CAP MR
Remove - Pending Acceptance
04/21/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
04/21/2026
04/28/2026
TOPICAL
Apply Thinly To Sacral Ulcer
Twice Daily
Sacral Ulcer Grade 3
Remove - Pending Acceptance
04/24/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/24/2026
05/01/2026
IV
600
Q8
Cap Mr Sacral Ulcer
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: