Binghot, Narcezo L.

HRN: 22-96-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/01/2026
CEFTRIAXONE 1G (VIAL)
02/01/2026
02/07/2026
IV
2g
OD
CAP MR
Waiting Final Action 
02/01/2026
AZITHROMYCIN 500MG TABLET (TAB)
02/01/2026
02/05/2026
PO
500MG
OD
CAP MR
Waiting Final Action 
02/01/2026
MUPIROCIN 2%, 15G (TUBE)
02/01/2026
02/08/2026
TOPICAL
2%
BID
Lacerated Wound And Abrasions
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: