Ubod, Gemma D.

HRN: 23-87-16  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/27/2023
CEFUROXIME 1.5GM (VIAL)
11/27/2023
11/28/2023
IV
1.5grams
Q8hours
UTI In Pregnancy
Waiting Final Action 
11/27/2023
CEFUROXIME 500MG (TAB)
11/27/2023
12/04/2023
IV
1.5gm
Q8
UTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: