Orlan, Macalisang ..

HRN: 29-44-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/11/2026
CEFTRIAXONE 1G (VIAL)
08/11/2026
08/18/2026
IV
2g
OD
Acute Epiglottitis
Checking Initial Appropriateness 
08/11/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
08/11/2026
08/18/2026
IV
600mg
Q8h
Acute Epiglottitis
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: