Rosos, Joshua G.

HRN: 08-09-83  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/12/2023
CEFUROXIME 750MG (VIAL)
06/12/2023
06/18/2023
IV
750mg
Q8hr
Urinary Tract Infection
Waiting Final Action 
06/12/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/12/2023
06/18/2023
IV
1 Gram
Q6hr
Urinary Tract Infection
Waiting Final Action 
06/13/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/13/2023
06/19/2023
IV DRIP
500 Mg
Q8
Infected Urachal Cyst
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: