Saguba, Edgardo .

HRN: 23-57-69  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/13/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/13/2023
08/19/2023
IV
4.5g
Q8
CAP-HR
Waiting Final Action 
08/25/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/25/2023
09/01/2023
IV
500mg
Q8H
Intraabdominal Infection
Waiting Final Action 
08/30/2023
MUPIROCIN 2%, 15G (TUBE)
08/30/2023
09/06/2023
TOPICAL
Apply BID
BID
Skin Infection
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: