Manayan, Eljean S.

HRN: 24-41-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2024
CEFUROXIME 1.5GM (VIAL)
02/02/2024
02/10/2024
IVT
1.5 Gms
Q8 Hrs X 4 Doses
S/P LTCS
Waiting Final Action 
02/03/2024
CEFUROXIME 500MG (TAB)
02/05/2024
02/10/2024
PO
500mg
BID
S/P LTCS
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: