Bango, John Rods V.

HRN: 09-66-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/20/2023
CEFTRIAXONE 1G (VIAL)
02/20/2023
02/27/2023
IVTT
1g
Q8
Urinary Tract Infection
02/20/2023
MUPIROCIN 2%, 15G (TUBE)
02/20/2023
02/26/2023
TOPICAL
As Needed
Q8Hrs
Open Wound
Waiting Final Action 
02/20/2023
CEFUROXIME 1.5GM (VIAL)
02/20/2023
02/26/2023
IV
1gram
Q8Hrs
Acute Gastritis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: