Pontillas, Lolita .

HRN: 24-78-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/03/2024
CEFTRIAXONE 1G (VIAL)
04/03/2024
04/09/2024
IV
2g
Od
UTI
Checking Final Appropriateness 
04/04/2024
CEFUROXIME 750MG (VIAL)
04/04/2024
04/10/2024
IV
750 Mg
Q8
UTI

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: