Macawaris, Ameer S.

HRN: 21-35-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/12/2023
AMPICILLIN 250MG (VIAL)
05/12/2023
05/19/2023
IV
190mg
Q6
PCAP B
Waiting Final Action 
05/17/2023
MUPIROCIN 2%, 15G (TUBE)
05/17/2023
05/23/2023
TOPICAL
Pea Size Amount
BID
Infected Wound
Waiting Final Action 
05/18/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
05/18/2023
05/22/2023
PO
2ml
Od
PCAP
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: