Colipano, Justine .

HRN: 15-13-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2024
CEFUROXIME 750MG (VIAL)
03/24/2024
03/30/2024
IVT
650mg
Q8
T/C UTI; WBC At 39.3
Waiting Final Action 
03/25/2024
CEFTRIAXONE 1G (VIAL)
03/25/2024
04/01/2024
IV
1.5gms
OD
TC UTI; RO APPENDICITIS
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: