Banquiao, Charls Jhon .

HRN: 29-06-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2026
CEFTRIAXONE 1G (VIAL)
05/28/2026
06/04/2026
IV
2 Gm
OD
T/c Mild TBI
Checking Initial Appropriateness 
05/28/2026
MUPIROCIN 2%, 15G (TUBE)
05/28/2026
06/04/2026
TOPICAL
2%
BID
Multiple Lacerated Wounds
Checking Initial 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: