Polon, Gregorio A.

HRN: 23-61-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/21/2023
CEFUROXIME 750MG (VIAL)
09/21/2023
09/28/2023
IV
1.5g
Q8hrs
Elective Herniorrhaphy
Waiting Final Action 
09/21/2023
CEFTRIAXONE 1G (VIAL)
09/21/2023
09/28/2023
IV
2 Grams
OD
Complicated UTI; IIH
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: