Amacanin, Bonifacio F.

HRN: 07-65-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/05/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/05/2026
07/11/2026
IV
600 MG
Q8
INFECTED WOUND
Checking Initial Appropriateness 
07/05/2026
MUPIROCIN 2%, 15G (TUBE)
07/05/2026
07/11/2026
TOPICAL
Apply On Affected Area
OD
Infected Wound
Checking Initial Appropriateness 
07/05/2026
CEFTRIAXONE 1G (VIAL)
07/05/2026
07/11/2026
IV
2gm
Q24
Uti
Checking Initial Appropriateness 
07/07/2026
CEFTRIAXONE 1G (VIAL)
07/07/2026
07/13/2026
IV
2g
OD
UTI
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: