Dablo, Erwin .

HRN: 29-11-22  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/06/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/06/2026
06/13/2026
IV
600mg
Q8
Dm Foot
Checking Initial Appropriateness 
06/08/2026
CEFTRIAXONE 1G (VIAL)
06/08/2026
06/14/2026
IV
2gm
OD
Diabetic Foot, Right
Checking Initial Appropriateness 
06/17/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
06/17/2026
06/24/2026
TOPICAL
Apply Thinly
Once Daily
Sacral Ulcer Grade 3
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: