Intol, Jessa Mae C.

HRN: 21-27-14  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/26/2023
CEFUROXIME 1.5GM (VIAL)
06/26/2023
06/27/2023
IV
1.5gms
Q8hrs X 3 Doses
S/P LTCS
Waiting Final Action 
06/27/2023
CEFUROXIME 500MG (TAB)
06/27/2023
07/04/2023
PO
500mg
BID X 7 Days
S/P LTCS; G2P2 (2002)
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: