Sayson, Judito, JR.. S.

HRN: 25-25-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/07/2024
CEFTRIAXONE 1G (VIAL)
06/07/2024
06/14/2024
IVT
1g
Q12
Fracture, Closed, Displaced M/3rd Femur, Right With Soft Tissue Injury Sec To MVA
Waiting Final Action 
06/07/2024
MUPIROCIN 2%, 15G (TUBE)
06/07/2024
06/14/2024
TOPICAL
15g
BID
Soft Tissue Injury Sec To MVA
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: