Paderes, Manilyn .

HRN: 23-13-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/09/2023
CEFUROXIME 1.5GM (VIAL)
06/09/2023
06/13/2023
IVTT
1.5g
Q8H
UTI
Waiting Final Action 
06/11/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/11/2023
06/17/2023
IVT
500 Mg
Q 8 Hrs
LTCS
Waiting Final Action 
06/11/2023
CEFUROXIME 1.5GM (VIAL)
06/11/2023
06/17/2023
IVT
1.5gm
Q8 Hrs
LTCS
Waiting Final Action 
06/13/2023
CEFUROXIME 500MG (TAB)
06/13/2023
06/20/2023
PO
500mg
BID
S/P LTCS
Waiting Final Action 
06/13/2023
METRONIDAZOLE 500MG (TAB)
06/13/2023
06/20/2023
PO
500mg
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: