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
08/18/2023
CEFTRIAXONE 1G (VIAL)
08/18/2023
08/24/2023
IV
400mg
Q24
Pcap
Checking Final Appropriateness 
08/18/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/18/2023
08/24/2023
IV
60mg
Q24
Pcap
Checking Final Appropriateness 
08/18/2023
MUPIROCIN 2%, 15G (TUBE)
08/18/2023
08/24/2023
TOPICAL
1
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: