Calma, Geraldine .

HRN: 18-98-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/19/2023
CEFUROXIME 500MG (TAB)
10/19/2023
10/25/2023
ORAL
500mg
BID
UTI In Pregnancy
Checking Final Appropriateness 
10/21/2023
CEFUROXIME 1.5GM (VIAL)
10/21/2023
10/27/2023
IV
1.5gm
Q8 X 7 Days
Post OP Prophylaxis
Checking Final Appropriateness 
10/23/2023
CEFUROXIME 500MG (TAB)
10/23/2023
10/30/2023
PO
1 Tab
BID
SP 1LTCS
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: