Marata, Jezel Jane B.

HRN: 23-82-56  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/01/2023
CEFUROXIME 1.5GM (VIAL)
10/01/2023
10/07/2023
IV
1.5 G
Q8
UTI, Preterm Labor
Waiting Final Action 
10/04/2023
CEFTRIAXONE 1G (VIAL)
10/04/2023
10/10/2023
IV
2g
OD
UTI
Waiting Final Action 
11/07/2023
CEFUROXIME 500MG (TAB)
11/07/2023
11/14/2023
PO
500mg
Bid
Thinly Meconium, Rmle
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: