Longno, Pacita S.

HRN: 00-48-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/30/2026
CEFTRIAXONE 1G (VIAL)
07/30/2026
08/05/2026
IV
2G
OD
CELLULITIS
Checking Initial Appropriateness 
07/30/2026
MUPIROCIN 2%, 15G (TUBE)
07/30/2026
08/05/2026
TOPICAL
1 Gram
Q12h
Sacral Ulcer
Checking Initial Appropriateness 
08/01/2026
MUPIROCIN 2%, 15G (TUBE)
08/01/2026
08/07/2026
TOPICAL
15g
BID
Sacral Ulcer
Remove - Pending Acceptance
08/01/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/01/2026
08/07/2026
IV
4.5g
Q8
Cellulitis
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: