Bauro, Myrel B.

HRN: 25-27-31  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/12/2024
CEFTRIAXONE 1G (VIAL)
06/12/2024
06/19/2024
IV
3g
Q24
Complicated UTI
Waiting Final Action 
06/12/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/12/2024
06/19/2024
IV
300mg
IV
Complicated UTI
Waiting Final Action 
06/19/2024
CIPROFLOXACIN 500MG (TAB)
06/19/2024
06/26/2024
PO
500mg
Q12
Complicated UTI
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: