Soriano, Mofel .

HRN: 27-44-05  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2025
AMPICILLIN 1GM (VIAL)
07/06/2025
07/13/2025
IV
2g
Q6h
PROM
Remove - Pending Acceptance
07/06/2025
AMPICILLIN 1GM (VIAL)
07/06/2025
07/06/2025
IV
2g
Now
PROM
Remove - Pending Acceptance
07/06/2025
CEFUROXIME 500MG (TAB)
07/06/2025
07/12/2025
PO
500mg
Bid
Cs
Waiting Final Action 
07/08/2025
MUPIROCIN 2%, 15G (TUBE)
07/08/2025
07/14/2025
TOPICAL
2%
OD
Post Op
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: