Dialel, Josefa A.

HRN: 24-48-91  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/09/2024
CEFUROXIME 1.5GM (VIAL)
02/09/2024
02/11/2024
IVT
1.5 Gms
On Call To OR Then Q 8 Hrs
LTCS
Waiting Final Action 
02/09/2024
MUPIROCIN 2%, 15G (TUBE)
02/09/2024
02/16/2024
TOPICAAL
Apply To Affected Area
TID
LTCS
Waiting Final Action 
02/09/2024
CEFUROXIME 500MG (TAB)
02/11/2024
02/18/2024
PO
500mg
BID
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: