Malondong, Cristine Mae M.

HRN: 23-72-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/23/2023
AMPICILLIN 250MG (VIAL)
09/23/2023
09/30/2023
IV
150mg
Q6h
Pcap C
Waiting Final Action 
09/25/2023
AMOXICILLIN 125MG/5ML, 60ML SUSPENSION (BOT)
09/25/2023
10/02/2023
ORAL
2ml
TID
PCAP C
Waiting Final Action 
09/26/2023
MUPIROCIN 2%, 15G (TUBE)
09/26/2023
10/02/2023
TOPICAL
1squirt
BID
Skin Infection
Waiting Final Action 

AMS Audit Form


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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: