Maurin, Wilfredo G.

HRN: 13-81-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/13/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/13/2025
10/20/2025
IV
4.5g LD Then 2.25g
Q6
SEPTIC SHOCK
Waiting Final Action 
10/13/2025
MUPIROCIN 2%, 15G (TUBE)
10/13/2025
10/20/2025
TOPICAL
Pea Size
BID
DECUBITUS ULCER
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: