Pisay, Janice M.

HRN: 26-87-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/29/2025
CEFTRIAXONE 1G (VIAL)
03/29/2025
04/05/2025
IV
2gms
OD
Lacerated Wound, Parietal Area S/P Suturing Sec To Occupational Injury
Waiting Final Action 
03/29/2025
MUPIROCIN 2%, 15G (TUBE)
03/29/2025
04/05/2025
TOPICAL
1
BID
Lacerated Wound, Parietal Area S/P Suturing Sec To Occupational Injury
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: