Sayson, Hanie Mie C.

HRN: 23-12-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/01/2023
AMPICILLIN 1GM (VIAL)
06/01/2023
06/03/2023
IV
2gms
Q 6 Hrs
PROM X 6 Hrs
Waiting Final Action 
06/01/2023
CEFUROXIME 1.5GM (VIAL)
06/01/2023
06/02/2023
IV
1.5 G
Q8 For 6 Doses
S/P LTCs
Waiting Final Action 
06/01/2023
CEFUROXIME 500MG (TAB)
06/02/2023
06/09/2023
PO
500 Mg
BID
S/P LTCS
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: