Bayo, Von Jayson C.

HRN: 29-32-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/30/2026
AMPICILLIN 250MG (VIAL)
07/30/2026
08/06/2026
IV
118mg
Q12
Neonatal Sepsis
Remove - Pending Acceptance
07/30/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/30/2026
08/06/2026
IV
35mg
Q24
Neonatal Sepsis
Remove - Pending Acceptance
07/30/2026
MUPIROCIN 2%, 15G (TUBE)
07/30/2026
08/06/2026
TOPICAL
2%
BID
Infected Wound
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: