Sarmiento, Shaina Marie R.

HRN: 29-34-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/28/2026
CEFAZOLIN 1GM (VIAL)
07/28/2026
08/04/2026
IV
1g
Q8
Open Fracture Clavicle Left
Remove - Pending Acceptance
07/28/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
07/28/2026
08/04/2026
IV
80mg
Q8
Open Fracture Clavicle Left
Remove - Pending Acceptance
07/28/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
07/28/2026
08/04/2026
TOPICAL
5
BID
Multiple Superficial Abrasions
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: