Dinalo, Mylyn .

HRN: 21-10-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/26/2023
AMPICILLIN 1GM (VIAL)
05/26/2023
05/31/2023
IVTT
2g
Q6
Prom
Checking Final Appropriateness 
05/30/2023
CEFUROXIME 500MG (TAB)
05/30/2023
06/06/2023
PO
1 Tab
BID
SP NSVD W Repair; UTI
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: