Calam, Ashly Khate P.

HRN: 20-87-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/24/2023
CEFUROXIME 1.5GM (VIAL)
11/24/2023
11/30/2023
IVT
383mg
Q8
Pneumonia, UTI
Checking Final Appropriateness 
11/27/2023
MUPIROCIN 2%, 15G (TUBE)
11/27/2023
12/03/2023
APPLY ON SKIN
Thinly
TID
Skin Rashes
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: