Tario, Edson D.

HRN: 26-42-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/28/2024
CEFTRIAXONE 1G (VIAL)
12/28/2024
01/04/2025
IV DRIP
2 Grams
Od
Infected Wound
Waiting Final Action 
12/28/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
12/28/2024
01/04/2025
IVTT
300mg
Q8h
Infected Wound
Waiting Final Action 
12/29/2024
MUPIROCIN 2%, 15G (TUBE)
12/29/2024
01/05/2025
TOPICAL
2% 15g
BID
Infected Wound
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: