Vergara, Baby Boy .

HRN: 24-56-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/12/2026
CEFUROXIME 1.5GM (VIAL)
01/12/2026
01/19/2026
IV
350mg
Q8hours
PCAP-C
Checking Initial Appropriateness 
01/14/2026
MUPIROCIN 2%, 15G (TUBE)
01/14/2026
01/21/2026
TOPICAL
2%
BID
Skin Irritation/ulcer
Checking Initial Appropriateness 

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: