Algar, Milcah Lois N.

HRN: 22-63-95  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/24/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/24/2024
12/01/2024
IV
300mg
Every 6 Hours
Scald Injury
Waiting Final Action 
11/24/2024
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
11/24/2024
12/01/2024
TOPICAL
Apply Directly
Every 12 Hours
Scald Injury
Waiting Final Action 
11/27/2024
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
11/27/2024
12/04/2024
TOPICAL
Apply Directly
Every 12 Hours
Scald Injury
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: