Bunaos, Delia .

HRN: 25-25-14  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/05/2024
AZITHROMYCIN 500MG TABLET (TAB)
06/05/2024
06/09/2024
PO
1 Tab
OD
CAPLR
Waiting Final Action 
06/06/2024
CEFUROXIME 1.5GM (VIAL)
06/06/2024
06/12/2024
IV
1500mg
Every 8 Hours
Urinary Tract Infection
Waiting Final Action 
06/08/2024
CEFUROXIME 500MG (TAB)
06/08/2024
06/12/2024
PO
1 Tab
BId X 5 Days More
Cap LR; UTI
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: