Bagbag, Lamberto .

HRN: 00-25-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/24/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/24/2024
05/24/2024
IJ CATH
80mg
Now
IJ Cath Prophylaxis
Waiting Final Action 
05/24/2024
MUPIROCIN 2%, 15G (TUBE)
05/24/2024
05/31/2024
TOPICAL
Sufficient Amount
As Needed
IJ Cath Prophylaxis
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: