Usman, Lorelie, MRS. B.

HRN: 16-33-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/07/2022
CEFIXIME 200MG (CAP)
06/07/2022
06/14/2022
PO
200mg
BID
UTI
Waiting Final Action 
06/08/2022
CEFTRIAXONE 1G (VIAL)
06/08/2022
06/15/2022
IVT
1g
Q12
UTI
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: