Magsigay, Felipe A.

HRN: 29-23-42  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/30/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/30/2026
07/07/2026
IV
600mg
Q8
Sacral Ulcer
Remove - Pending Acceptance
06/30/2026
MUPIROCIN 2%, 15G (TUBE)
06/30/2026
07/07/2026
TOPICAL
2%
BID
Sacral Ulcer
Remove - Pending Acceptance
06/30/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/30/2026
07/06/2026
IV
2.25g
Q8h
Sacral Ulcer
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: