Bancil, Apolonio .

HRN: 05-97-47  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
INFECTED LIP
Checking Initial Appropriateness 
06/06/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/06/2026
06/13/2026
IV
750G
Q8
INFECTED WOUND
Checking Initial Appropriateness 
06/06/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/06/2026
06/12/2026
IV
4.5gm
Q8
SCC With Superimposed Infection
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: