Dizon, Rolando D.

HRN: 07-05-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/01/2024
CEFUROXIME 1.5GM (VIAL)
08/01/2024
08/07/2024
IVTT
2g
Q8
UTI
Waiting Final Action 
08/01/2024
CEFUROXIME 1.5GM (VIAL)
08/01/2024
08/07/2024
IVTT
1.5g
Q8
UTI, Acute Gastritis
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: