Valenciano, Jennicel .

HRN: 25-39-86  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/25/2024
CEFUROXIME 1.5GM (VIAL)
09/25/2024
09/26/2024
IV
1.5 Grams
Q8 X 4 Doses
SP 1LTCS
Waiting Final Action 
09/25/2024
CEFUROXIME 500MG (TAB)
09/26/2024
10/02/2024
PO
1 Tab
BID
SP LTCS
Waiting Final Action 
09/25/2024
MUPIROCIN 2%, 15G (TUBE)
09/25/2024
10/02/2024
TOPICAL
Apply On Affected Area
BID
SP 1LTCS
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: