Calumba, Froilan C.

HRN: 41-27-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/20/2022
CEFTRIAXONE 1G (VIAL)
04/20/2022
04/26/2022
IV
2G
OD
MULTIPLE CARERATIONS (HEAD AND THORAX)
Waiting Final Action 
04/20/2022
MUPIROCIN 2%, 15G (TUBE)
04/20/2022
04/26/2022
TOPICAL
BID
BID
MULTIPLE ABRASION
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: