Paler, Agnes P.

HRN: 01-82-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/20/2026
06/27/2026
IV
600
Q6
Infected Breast Mass
Remove - Pending Acceptance
06/23/2026
CEFTRIAXONE 1G (VIAL)
06/23/2026
06/29/2026
IV
2GM
Od
BREAST MASS
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: