Beloy, Alvien M.

HRN: 16-92-00  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/27/2023
CO-AMOXICLAV 625MG (TAB)
09/27/2023
10/04/2023
PO
625mg
BID
Multiple STI, Laceration
Checking Final Appropriateness 
09/27/2023
MUPIROCIN 2%, 15G (TUBE)
09/27/2023
10/04/2023
TOPICAL
Apply Thinly
BID
Multiple STI, Laceration
Checking Final Appropriateness 

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: