Sordilla, Alma A.

HRN: 24-98-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/12/2024
CEFUROXIME 1.5GM (VIAL)
05/12/2024
05/18/2024
IV
1.5
Q8
SP LTCS
Waiting Final Action 
05/12/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/12/2024
05/18/2024
IV
500 Mg
Q8
SP LTCS
Waiting Final Action 
05/14/2024
CEFUROXIME 500MG (TAB)
05/14/2024
05/20/2024
PO
500mg
BID
Cs With BTL
Waiting Final Action 
05/14/2024
METRONIDAZOLE 500MG (TAB)
05/14/2024
05/21/2024
PO
1 Tablet
TID
S/P PLTCS With BTL
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: