Hubid, Mary Jane B.

HRN: 06-69-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/25/2024
CEFUROXIME 500MG (TAB)
04/25/2024
05/02/2024
PO
1 Tab
BID
SP Repeat CS W IUD
Waiting Final Action 
04/25/2024
MUPIROCIN 2%, 15G (TUBE)
04/25/2024
05/02/2024
TOPICAL
Apply On Affected Area
BID
SP Repeat CS W IUD
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: