Viras, Charlito M.

HRN: 25-35-07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/26/2024
CEFTRIAXONE 1G (VIAL)
06/26/2024
07/02/2024
IV
2 G
Q12
Bacterial Meningitis
Waiting Final Action 
06/29/2024
SODIUM FUSIDATE 20MG/G, 15G OINTMENT
06/29/2024
07/05/2024
TOPICAL
Apply Thin Coat
BID
Decubitus Ulcer
Waiting Final Action 
06/29/2024
MUPIROCIN 2%, 15G (TUBE)
06/29/2024
07/05/2024
TOPICAL
Apply Thin Coat
BID
Decubitus Ulcer
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: