Maguinsalog, Ethyl .

HRN: 29-01-41  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2026
CEFUROXIME 1.5GM (VIAL)
06/27/2026
07/04/2026
IV
1.5 Grams
Q8
UTI; Systemic Viral Illness
Checking Initial Appropriateness 
06/28/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/28/2026
07/05/2026
IV
600mg TIV X Q Hour Infusion
Q8h
Cellulitis
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: