Lipae, Abbygail A.

HRN: 22-63-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/04/2023
CEFUROXIME 750MG (VIAL)
07/04/2023
07/11/2023
IV
150mg
Q8
PCAP C
Waiting Final Action 
07/04/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
07/04/2023
07/11/2023
IV
22.5mg
Q24
PCAP C
Waiting Final Action 
07/08/2023
MUPIROCIN 2%, 15G (TUBE)
07/08/2023
07/14/2023
TOPICAL
As Needed
BID
Impetigo
Checking Final 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: