Padilla, Jhun Vic -.

HRN: 23-11-96  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CEFTRIAXONE 1G (VIAL)
05/27/2023
06/03/2023
IVTT
1.5grams
Q12
PCAP C
Waiting Final Action 
05/27/2023
MUPIROCIN 2%, 15G (TUBE)
05/27/2023
06/03/2023
TOPICAL
Pea Size Amount
BID
Phlebitis
Waiting Final Action 
05/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/27/2023
06/01/2023
ORAL
500mg
OD
PCAP C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: