Languita, Estelita .

HRN: 11-23-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/22/2024
CEFUROXIME 500MG (TAB)
04/22/2024
04/29/2024
PO
500mg Tab
BID
UTI, CAP-MR
Waiting Final Action 
07/22/2024
CEFTRIAXONE 1G (VIAL)
07/22/2024
07/29/2024
IV
1gm
OD
UTI
Waiting Final Action 
07/23/2024
METRONIDAZOLE 500MG (TAB)
07/23/2024
07/30/2024
PO
500mg Tab
TID
S/p NSVD; Thickly MSAF
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: