Ubang, Rowell F.

HRN: 21-07-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2023
ACICLOVIR 400MG (TAB)
06/10/2023
06/17/2023
PO
200mg Pptab
Q6
HFMD
Waiting Final Action 
06/10/2023
OXACILLIN 500MG (VIAL)
06/10/2023
06/17/2023
IV
400mg
Q6
Staphylococcal Infection(Impetigo)
Waiting Final Action 
06/10/2023
MUPIROCIN 2%, 15G (TUBE)
06/10/2023
06/17/2023
TOPICAL
2%
BID
Staphylococcal Infection(Impetigo)
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: