Corbo, Junard S.

HRN: 23-44-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2023
MUPIROCIN 2%, 15G (TUBE)
09/02/2023
09/09/2023
TOPICAL
Small Amount
BID
Phlebitis
Waiting Final Action 
09/09/2023
CEFTRIAXONE 1G (VIAL)
09/09/2023
09/16/2023
IV
2g
Q24
Complicated UTI
Waiting Final Action 
09/10/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
09/10/2023
09/18/2023
TOPICAL
Thin Application
TID
Infected Wound
Waiting Final Action 
09/14/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
09/14/2023
09/20/2023
TOPICAL
Ample Amount
Q12
Infected Wound
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: