Centino, Maria Rebecca .

HRN: 28-63-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/15/2026
AMPICILLIN 1GM (VIAL)
03/15/2026
03/22/2026
IV
2g
Q6h
PROM X 4 Hours
Checking Initial Appropriateness 
03/15/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/15/2026
03/18/2026
IV
900 Mg
Q8
PROM
Checking Initial Appropriateness 
03/15/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
03/15/2026
03/16/2026
IV
80
OD
PROM
Checking Initial Appropriateness 
03/17/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/17/2026
03/18/2026
IV
900 Mg
Q8 X 3 Doses More
PROM
Checking Initial Appropriateness 
03/17/2026
CLINDAMYCIN 300MG (CAP)
03/18/2026
03/24/2026
PO
1 Tab
QID
PROM
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: