Tan, Michael Jay M.

HRN: 22-77-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/25/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/25/2023
04/01/2023
IVTT
875mg
Q6h
Fracture, Closed, Complete, Distal 3rd, Femur, Right Sec To MVA
Waiting Final Action 
03/25/2023
MUPIROCIN 2%, 15G (TUBE)
03/25/2023
04/01/2023
TOPICAL
Apply Thinly On Affected Area
OD
Multiple Soft Tissue Abrasions
Waiting Final Action 
04/02/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/02/2023
04/04/2023
IV
875mg
Q6
Fracture Closed Complete Proximal 3rd Femur Left
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: