Juntong, Zara Mae .

HRN: 24-05-27  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/14/2023
CEFUROXIME 1.5GM (VIAL)
11/14/2023
11/21/2023
IV
750mg
Q8
S/p Suction Curettage
Rejected 
11/15/2023
CEFUROXIME 500MG (TAB)
11/15/2023
11/21/2023
PO
500mg
BID
S/P Suction Curettage
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: