Oling, Nenette .

HRN: 02-16-03  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/30/2025
CEFTRIAXONE 1G (VIAL)
10/30/2025
11/05/2025
IV
2gm
OD
Complicated UTI
Checking Final Appropriateness 
10/30/2025
MUPIROCIN 2%, 15G (TUBE)
10/30/2025
11/05/2025
IV
Apply Thin Coat
BID
Decubitus Ulcer
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: