Acasio, Aljun V.

HRN: 25-56-24  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/25/2024
CEFUROXIME 750MG (VIAL)
07/25/2024
08/01/2024
IV
600MG
Q8H
UTI
Waiting Final Action 
07/27/2024
MUPIROCIN 2%, 15G (TUBE)
07/27/2024
08/02/2024
APPLY ON RASHES
Thin Layer
TID
Infected Rashes
Waiting Final Action 
07/27/2024
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
07/27/2024
08/02/2024
APPLY ON MOUTH SORES
1ml
QID
Mouth Sores
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: