Pacquiao, Ruben O.

HRN: 07-97-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/21/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/21/2026
06/21/2026
IV
4.5
Q24
Nonhealing Wound
Remove - Pending Acceptance
06/21/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/22/2026
06/27/2026
IV
2.25
Q6
Nonhealing Wound
Remove - Pending Acceptance
06/21/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/21/2026
06/27/2026
IV
600mg
Q6h
Nonhealing Wound
Remove - Pending Acceptance
06/21/2026
MUPIROCIN 2%, 15G (TUBE)
06/21/2026
06/27/2026
TOPICAL
2%
Bid
Nonhealing Wound
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: