Polbos, Cheerilyn R.

HRN: 27-44-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/14/2025
CEFUROXIME 1.5GM (VIAL)
07/14/2025
07/20/2025
IVT
1.5g
Q8
T/c Cellulitis Right Arm
Waiting Final Action 
07/14/2025
MUPIROCIN 2%, 15G (TUBE)
07/14/2025
07/20/2025
TOPICAL
2%
BID
T/c Cellulitis Right Arm
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: