Boniao, Arnolfo L.

HRN: 06-33-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/08/2026
CEFTRIAXONE 1G (VIAL)
08/08/2026
08/15/2026
IV
2g
OD
Infected Wound
Remove - Pending Acceptance
08/08/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/08/2026
08/15/2026
IV
600mg
Q6
Infected Wound
Remove - Pending Acceptance
08/08/2026
AZITHROMYCIN 500MG TABLET (TAB)
08/08/2026
08/12/2026
PO
500mg
OD
CAP LR
Remove - Pending Acceptance
08/11/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/11/2026
08/18/2026
IV
4.5g
Q8h
Aspiration Pneumonia
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: