Sucano, Mel Christine .

HRN: 19-45-60  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/30/2025
CEFUROXIME 1.5GM (VIAL)
06/30/2025
07/01/2025
IV
1.5 G
Loading Dose
Sp 1 LTCS
Remove - Pending Acceptance
06/30/2025
CEFUROXIME 1.5GM (VIAL)
06/30/2025
07/07/2025
IV
1.5g
Q8h
S/p CS
Remove - Pending Acceptance
07/02/2025
CEFUROXIME 500MG (TAB)
07/02/2025
07/08/2025
TABLET
500mg
BID
Post Op
Waiting Final Action 
07/02/2025
MUPIROCIN 2%, 15G (TUBE)
07/02/2025
07/08/2025
TOPICAL
2%
Once
Post Op
Waiting Final Action 
07/02/2025
MUPIROCIN 2%, 15G (TUBE)
07/02/2025
07/08/2025
TOPICAL
Pea Size
Od
Cs
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: