Bucaya, Lito M.

HRN: 23-11-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/02/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/02/2024
03/09/2024
IV
500mg
Every 8 Hours
Abdominal Mass ETBD; T/C UGIB
Waiting Final Action 
03/02/2024
CEFUROXIME 1.5GM (VIAL)
03/02/2024
03/09/2024
IV
1.5 Grams
Every 8 Hours
Abdominal Mass ETBD; T/C UGIB
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: