Albuna, Maricel O.

HRN: 24-07-16  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/08/2023
AMPICILLIN 1GM (VIAL)
11/08/2023
11/15/2023
IV
2gms
Q6H
PROM
Checking Final Appropriateness 
11/08/2023
CEFUROXIME 1.5GM (VIAL)
11/08/2023
11/09/2023
IV
1.5g
Q8
CS
Checking Final Appropriateness 
11/09/2023
CEFUROXIME 500MG (TAB)
11/09/2023
11/15/2023
PO
500mg
Bid
Cs
Checking Final Appropriateness 
11/09/2023
METRONIDAZOLE 500MG (TAB)
11/09/2023
11/15/2023
PO
500mg
TID
Ltcs
Checking Final Appropriateness 
11/09/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/09/2023
11/10/2023
IV
500
Q8
LTCS
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: