Empeles, Fernando P.

HRN: 08-60-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/14/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/14/2026
07/16/2026
IV
300
Q8
Pneumonia
Checking Initial Appropriateness 
07/14/2026
CEFTRIAXONE 1G (VIAL)
07/14/2026
07/16/2026
IV
2g
Q24
Aspiration Pnemonia
Checking Initial Appropriateness 
07/14/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/14/2026
07/21/2026
IV
3g
Q 6 Hours
Aspiration Pneumonia
Checking Initial Appropriateness 
07/14/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/14/2026
07/20/2026
IV
4.5g
Q8h
Aspiration Pneumonia
Checking Initial Appropriateness 
07/18/2026
MUPIROCIN 2%, 15G (TUBE)
07/18/2026
07/25/2026
TOPICAL
2%
BID
Sacral Ulcer
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: