Chavez, Carmelita .

HRN: 24-48-58  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/07/2024
CEFTRIAXONE 1G (VIAL)
02/07/2024
02/13/2024
IV
2g
Q24
UTI
Checking Final Appropriateness 
02/07/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/07/2024
02/13/2024
IVT
500mg
Q8
Infectious Diarrhea
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: