Cobol, Arden A.

HRN: 25-25-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/08/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/08/2024
06/14/2024
IV
4.5 G LD Then 2.25 G G
Q8
Infected Wound, CAP MR
Waiting Final Action 
06/08/2024
MUPIROCIN 2%, 15G (TUBE)
06/08/2024
06/14/2024
TOPICAL
Apply On Affected Area
OD
Infected Wound, CAP MR
Waiting Final Action 
06/08/2024
MUPIROCIN 2%, 15G (TUBE)
06/08/2024
06/15/2024
TOPICAL
Apply On Affected Area
BID
Infected Wound, Left Foot 1st Digit
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: