Veras, Cialeah Marie C.

HRN: 23-29-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/07/2023
CEFTRIAXONE 1G (VIAL)
07/07/2023
07/13/2023
IV
1gm
OD
UTI
Waiting Final Action 
07/08/2023
CO-AMOXICLAV 625MG (TAB)
07/08/2023
07/15/2023
PO
625mg, 1 Tab
BID
S/P Completion Curettage
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: