Maribao, Kim Estila L.

HRN: 25-79-04  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/27/2024
CEFUROXIME 750MG (VIAL)
08/27/2024
09/02/2024
IVT
500mg
Q8
Sepsis
Waiting Final Action 
12/11/2025
CEFTRIAXONE 1G (VIAL)
12/11/2025
12/18/2025
IV DRIP
1500 G
Q24hrs
Pcap C
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: