Altubar, Norberto S.

HRN: 28-99-47  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/13/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/14/2026
05/19/2026
IV
300 MG
Q8
INFECTED DM FOOT
Remove - Pending Acceptance
05/13/2026
MUPIROCIN 2%, 15G (TUBE)
05/14/2026
05/19/2026
TOPICAL
APPLY EVENLY ON AFFECTED AREA
OD
INFECTED DM FOOT
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: