Momongan, Ismael .

HRN: 23-64-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/29/2023
CEFUROXIME 750MG (VIAL)
08/29/2023
09/05/2023
IV
375mg
TID
AGE W/ Mod. Dhn; URTI; R/O UTI
Waiting Final Action 
08/30/2023
MUPIROCIN 2%, 15G (TUBE)
08/30/2023
09/06/2023
TOPICAL
Apply Thinly
Bid
TC Folliculitis
Waiting Final Action 
09/01/2023
CEFTRIAXONE 1G (VIAL)
09/01/2023
09/07/2023
IV
1g
OD
Pcap C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: