Banquiao, Glenie E.

HRN: 21-52-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/07/2022
AMPICILLIN 1GM (VIAL)
07/07/2022
07/14/2022
IV
2g
Q6H
PROM
Waiting Final Action 
07/08/2022
CEFUROXIME 1.5GM (VIAL)
07/08/2022
07/14/2022
IV
1.5g
Q8
S/P CS
Waiting Final Action 
07/08/2022
CEFUROXIME 750MG (VIAL)
07/08/2022
07/15/2022
IV
750
Q8H
S/p CS

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: