Montano, Kevin T.

HRN: 21-29-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/04/2022
AMPICILLIN 500MG (VIAL)
05/04/2022
05/12/2022
IV
340mg
Every 6h
PCAP C
Waiting Final Action 
05/04/2022
CEFTRIAXONE 1G (VIAL)
05/04/2022
05/10/2022
IV DRIP
680mg
Every 24hrs
Pcap C
Waiting Final Action 
05/06/2022
MUPIROCIN 2%, 15G (TUBE)
05/06/2022
05/13/2022
TOPICAL
Needed Amount To Cover Area
Q8
Blisters Left Hand
Waiting Final Action 
07/31/2022
CEFUROXIME 750MG (VIAL)
07/31/2022
08/07/2022
IVTT
300mg
Q8
Pcap C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: