Dorde, Merian M.

HRN: 22-28-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/01/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/01/2022
12/08/2022
IV
1.5
Q6
STI Sec To Mva
Waiting Final Action 
12/02/2022
MUPIROCIN 2%, 15G (TUBE)
12/02/2022
12/09/2022
TOPICAL
Apply Thinly
Od
Post Thyroidectomy
Waiting Final Action 
12/02/2022
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
12/02/2022
12/09/2022
TOPICAL
Apply Thinly
Od
Eye Infection
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: