Suan, Leonardo B.

HRN: 01-43-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/30/2023
CEFTAZIDIME 1GM (VIAL)
10/30/2023
11/06/2023
IV
1g
Q8
CAP-MR
Waiting Final Action 
10/30/2023
MUPIROCIN 2%, 15G (TUBE)
10/30/2023
11/06/2023
TOPICAL
Sufficient Amount
BID
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: