Plao, Renato H.

HRN: 24-19-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/05/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/05/2023
12/11/2023
IVTT
500 Mg
Q6
Tetanus Infection
Waiting Final Action 
12/12/2023
MUPIROCIN 2%, 15G (TUBE)
12/12/2023
12/18/2023
TOPICAL
Apply On Affected Areas
Bid
Infected Wound
Waiting Final Action 
12/16/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/16/2023
12/29/2023
IV
500MG
Q6
Tetanus Infection
Waiting Final Action 

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: