Dian, Carilyn .

HRN: 03/56/59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/08/2025
CEFUROXIME 1.5GM (VIAL)
01/08/2025
01/09/2025
IV
1.5g
Q8
Cs
Waiting Final Action 
01/08/2025
CEFUROXIME 500MG (TAB)
01/09/2025
01/15/2025
IV
500mg
Bid
Cs
Waiting Final Action 
01/09/2025
MUPIROCIN 2%, 15G (TUBE)
01/09/2025
01/15/2025
TOPICAL
2%
BID
SP CLASSICAL PRIMARY CS
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: