NuÑez, Gilbert .

HRN: 24-14-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/13/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/13/2025
07/20/2025
IV
360mg
Q8H
PCAP
Checking Initial Appropriateness 
07/15/2025
MUPIROCIN 2%, 15G (TUBE)
07/15/2025
07/22/2025
TOPICAL
As Needed
BID
Phlebitis
Waiting Final Action 
07/16/2025
CO-AMOXICLAV 457MG/5ML, 70ML SUSPENSION (BOT)
07/16/2025
07/20/2025
PO
2 Ml
Q 12
PCAP-B
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: