Delos Reyes, Gifted Jacob N.

HRN: 20-91-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/18/2022
07/25/2022
IV
130 Mg
Q6
Aspiration Pneumonia
Waiting Final Action 
07/23/2022
MUPIROCIN 2%, 15G (TUBE)
07/23/2022
07/28/2022
TOPICAL
Apply On Affected Are
8 Hrs
Infected IV Site
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: