Bualan, Rizalyn R.

HRN: 22-84-39  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2023
CEFUROXIME 1.5GM (VIAL)
06/24/2023
06/24/2023
IV
1.5grams
On Call To OR ANST
For Repeat LTCS For CPD
Waiting Final Action 
06/24/2023
CEFUROXIME 1.5GM (VIAL)
06/24/2023
06/25/2023
IV
1.5g
Q8 X 3 Doses
S/P Repeat LTCS
Waiting Final Action 
06/24/2023
CEFUROXIME 500MG (TAB)
06/25/2023
07/01/2023
PO
500mg
BID X 7 Days
S/P Repeat LTCS
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: