Mabini, Simeon A.

HRN: 29-27-35  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/06/2026
07/13/2026
IV
300mg
Q 6 Hours
Infected Wound
Checking Initial Appropriateness 
07/07/2026
CO-AMOXICLAV 625MG (TAB)
07/07/2026
07/14/2026
PO
625mg
TID
Pressure Ulcer Stage 3
Checking Initial Appropriateness 
07/07/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/07/2026
07/14/2026
IV
600
Q6
Pressure Ulcer Stage 3
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: