Sulpot, Shamir A.

HRN: 29-95-44  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/15/2024
SODIUM FUSIDATE 20MG/G, 15G OINTMENT
04/15/2024
04/22/2024
TOPICAL
As Needed
Bid
Infected Wound Left And Right Leg
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: