Candelario, Leonila A.

HRN: 23-19-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/13/2023
CEFUROXIME 500MG (TAB)
06/13/2023
06/20/2023
PO
500mg
BID
UTI
Waiting Final Action 
07/05/2023
CEFUROXIME 500MG (TAB)
07/05/2023
07/11/2023
PO
1 Tab
BID
Thickly MSAF
Waiting Final Action 
07/05/2023
METRONIDAZOLE 500MG (TAB)
07/05/2023
07/11/2023
PO
1 Tab
TID
Thickly MSAF
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: