Pigal, Laizah U.

HRN: 26-43-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/23/2024
AMPICILLIN 250MG (VIAL)
12/23/2024
12/30/2024
IV
230mg
Q6H
URTI
Waiting Final Action 
12/23/2024
MUPIROCIN 2%, 15G (TUBE)
12/23/2024
12/30/2024
TOPICAL
Pea-sized
BID
Skin Infection
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: