Katipuan, Jose .

HRN: 27-98-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/18/2026
CEFTRIAXONE 1G (VIAL)
03/18/2026
03/25/2026
IV
2G
OD
UTI
Remove - Pending Acceptance
03/23/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/30/2026
03/29/2026
IV
600 MG
Q8H
INFECTED AVF SITE
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: