Bagarinao, Esel P.

HRN: 13-73-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CEFUROXIME 500MG (TAB)
05/27/2023
06/03/2023
PO
500mg
BID X 7 Days
Thinly MSAF; UTI
Checking Final Appropriateness 
05/27/2023
METRONIDAZOLE 500MG (TAB)
05/27/2023
06/03/2023
PO
500mg
TID X 7 Days
Thinly MSAF; UTI
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: