Vale, Jamaica D.

HRN: 23-44-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/08/2024
CEFUROXIME 1.5GM (VIAL)
01/08/2024
01/15/2024
ORAL
500mg
BID
Urinary Tract Infection
Checking Final Appropriateness 
01/08/2024
CEFUROXIME 500MG (TAB)
01/08/2024
01/14/2024
PO
1 Tab
BID
UTI
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: