Leguisan, Mario M.

HRN: 28-04-73  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/04/2025
CEFTRIAXONE 1G (VIAL)
11/04/2025
11/10/2025
IV
2 Grams
OD
Uti
Waiting Final Action 
11/04/2025
MUPIROCIN 2%, 15G (TUBE)
11/04/2025
11/10/2025
TOPICAL
APLLY ON AFFECTED AREA
BID
Infected Wound
Waiting Final Action 
11/06/2025
METRONIDAZOLE 500MG (TAB)
11/06/2025
11/13/2025
PO
500mg
Tid
Acute Infectious Diarrhea
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: