Dela Cruz, Ricky B.

HRN: 09-14-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/22/2023
CEFUROXIME 1.5GM (VIAL)
10/22/2023
10/29/2023
IV
1.5g
Q8hrs
Multiple Lacerated Wound, Left Forehead And Left Zygomatic Area Sec To MVA (noncollision)
Checking Final Appropriateness 
10/22/2023
MUPIROCIN 2%, 15G (TUBE)
10/22/2023
10/29/2023
TOPICAL
2%
BID
Multiple Abrasions, Multiple Lacerated Wound
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: