Albarico, Jenica .

HRN: 23-93-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/14/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/14/2024
12/21/2024
IV
680mg
Q6h
PCAP
Waiting Final Action 
12/14/2024
CEFUROXIME 1.5GM (VIAL)
12/14/2024
12/21/2024
IV
940mg
Q8h
UTI
Waiting Final Action 
12/14/2024
CEFTRIAXONE 1G (VIAL)
12/14/2024
12/21/2024
INTRAVENOUS
1 Gram
Every 12 Hours
UTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: