Sano, Vangie C.

HRN: 18-47-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2023
CEFUROXIME 1.5GM (VIAL)
10/05/2023
10/12/2023
SIVT
1.5g Then 750mg
Now Then Q8
UTI
10/05/2023
CEFUROXIME 1.5GM (VIAL)
10/05/2023
10/12/2023
IV
1.5g
Q8hrs
UTI
Waiting Final Action 
10/09/2023
CEFTRIAXONE 1G (VIAL)
10/09/2023
10/16/2023
IV
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: