Tolorio, Daylinda .

HRN: 23-95-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/25/2023
CEFTRIAXONE 1G (VIAL)
10/25/2023
11/06/2023
IV
2g
OD
Stab Wound
Checking Final Appropriateness 
10/25/2023
MUPIROCIN 2%, 15G (TUBE)
10/25/2023
10/30/2023
TOPICAL
Apply Thinlu
BID
Stab Wound
Checking Final Appropriateness 
10/25/2023
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
10/25/2023
11/08/2023
IV
500mg
Every 8 Hours
Stab 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:



 If inappropriate:

              

Overall appropriateness: