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
03/01/2023
CEFTRIAXONE 1G (VIAL)
03/01/2023
03/08/2023
IV
2gm
Q24
Complicated UTI
Waiting Final Action 
03/05/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
03/05/2023
03/11/2023
SKIN
Thinly
BID
Bed Sores
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: