Bansag, Glysdi .

HRN: 24-07-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/10/2023
CEFUROXIME 1.5GM (VIAL)
11/10/2023
11/17/2023
IV
1.3gm
Q 8hrs
Uti
Waiting Final Action 
11/11/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/11/2023
11/25/2023
PO
1 Tab
Q8hours
H Pylori Infection
Waiting Final Action 
11/11/2023
CLARITHROMYCIN 500MG (CAP)
11/11/2023
11/25/2023
PO
1 Cap
BID
H Pylori Infection
Waiting Final Action 
11/11/2023
METRONIDAZOLE 500MG (TAB)
11/11/2023
11/25/2023
PO
1 Tab
Q8hours
H Pylori Infection
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: