Baldapan, Joana .

HRN: 23-58-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2023
AMPICILLIN 500MG (VIAL)
08/23/2023
08/29/2023
IVT
260mg
Q6
PCAP C
Waiting Final Action 
09/06/2023
CEFTRIAXONE 1G (VIAL)
09/06/2023
09/13/2023
IV
200mg
Q12
T/c Bacterial Meningitis
Waiting Final Action 
09/08/2023
MUPIROCIN 2%, 15G (TUBE)
09/08/2023
09/14/2023
TOPICAL
2%
BID
Post Iv Site Wound
Waiting Final Action 
09/25/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
09/25/2023
10/02/2023
ORAL
1.2ml
BID
Tc Bacterial Meningitis
Waiting Final Action 
09/27/2023
CIPROFLOXACIN 500MG (TAB)
09/27/2023
10/03/2023
PO VIA NGT
40mg
BID
PCAP D, T/C Bacterial Meningitis
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: