Tamparong, Margarita C.

HRN: 25-71-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2024
CEFTRIAXONE 1G (VIAL)
08/23/2024
08/30/2024
IVT
2g
OD
CAP MR
Waiting Final Action 
08/23/2024
AZITHROMYCIN 500MG TABLET (TAB)
08/23/2024
08/27/2024
ORAL
500mg
OD
CAP MR
Waiting Final Action 
08/27/2024
MUPIROCIN 2%, 15G (TUBE)
08/27/2024
09/03/2024
TOPICAL
Apply Directly
Every 12 Hours
Pressure Ulcer
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: