Gonzales, Baby Boy .

HRN: 23-76-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/22/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/22/2025
01/28/2025
IV
415mg
Q6
PCAP
Waiting Final Action 
01/22/2025
MUPIROCIN 2%, 15G (TUBE)
01/22/2025
01/28/2025
TOPICAL
-
BID
Infected Wound
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: