Coot, Christy Fanny Rose .

HRN: 19-15-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/23/2024
CEFUROXIME 1.5GM (VIAL)
05/23/2024
05/24/2024
IV
1.5
Q8h X 6 Doses
S/P Primary LTCS/Mid/SAB
Waiting Final Action 
05/23/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/23/2024
05/24/2024
IV
500 Mg
Q8hrs X 6 Doses
S/P Primary LTCS/Mid/SAB
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: