Tano, Prince Dionne T.

HRN: 22-76-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/27/2024
AMPICILLIN 500MG (VIAL)
07/27/2024
08/02/2024
IV
200mg
Q6h
Acute Bacterial Infection
Waiting Final Action 
07/27/2024
MUPIROCIN 2%, 15G (TUBE)
07/27/2024
08/02/2024
APPLY ON SKIN
Thin Layer
TID
Infected Rashes
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: