Morales, Anecita .

HRN: 29-11-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/11/2026
MUPIROCIN 2%, 15G (TUBE)
07/11/2026
07/17/2026
TOPICAL
2%
Bid
Infected Wound Right Leg
Checking Initial Appropriateness 
07/14/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/14/2026
07/21/2026
IV
600mg
Q8h
Nonhealing Wound, Right Leg
Checking Final 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: