Pateño, Elizabeth .

HRN: 06-60-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/15/2023
CEFTRIAXONE 1G (VIAL)
07/15/2023
07/21/2023
IVT
2g
OD
Uti
Waiting Final Action 
07/15/2023
LEVOFLOXACIN 500MG (TAB)
07/15/2023
07/21/2023
PO
750mg Tab
OD
Uti
Waiting Final Action 
07/15/2023
CEFTAZIDIME 1GM (VIAL)
07/15/2023
07/21/2023
IV
1g
Q8hrs
Uti, Cap Lr
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: