Castula, Helenita .

HRN: 23-46-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/03/2023
CEFUROXIME 1.5GM (VIAL)
08/03/2023
08/09/2023
IVT
1.5g
Q8
Cap
Waiting Final Action 
08/05/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/05/2023
08/09/2023
PO
500mgtab
Q24
Cap Mr
Waiting Final Action 
08/06/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
08/06/2023
08/13/2023
IV
1.5g
Q8
CAP-MR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: