Acain, Sam Emeric B.

HRN: 28-56-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/17/2026
MUPIROCIN 2%, 15G (TUBE)
02/17/2026
02/24/2026
TOPICAL
Apply Thinly
BID
Abrasion
Checking Initial Appropriateness 
02/19/2026
CEFUROXIME 750MG (VIAL)
02/19/2026
02/19/2026
IV
750mg
LD
Multiple Fractures
Checking Initial Appropriateness 
02/19/2026
CEFUROXIME 750MG (VIAL)
02/19/2026
02/26/2026
IV
375mg
Q8
Multiple Fractures
Checking Initial Appropriateness 
02/19/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/19/2026
02/26/2026
IV
500mg
Q8
Multiple Fractures
Rejected 
02/25/2026
CO-AMOXICLAV 457MG/5ML, 70ML SUSPENSION (BOT)
02/25/2026
03/05/2026
PO
7.5ml
Q8H
S/P OR Plating Both Femur
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: