Cabatcha, Ruthy Mae S.

HRN: 26-89-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/28/2025
CEFUROXIME 1.5GM (VIAL)
03/28/2025
03/28/2025
IV
1.5g
PTOR
Stat CS
Waiting Final Action 
03/28/2025
CEFUROXIME 500MG (TAB)
03/28/2025
04/04/2025
ORAL
500 Mg/tab
Bid
S/p Ltcs
Waiting Final Action 
03/28/2025
MUPIROCIN 2%, 15G (TUBE)
03/28/2025
04/04/2025
TOPICAL
2%
Bid
Ltcs
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: