Makiputin, Meraciel .

HRN: 26-57-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/21/2025
CEFUROXIME 500MG (TAB)
01/21/2025
01/27/2025
ORAL
500 Mg
BID
UTI
Waiting Final Action 
01/20/2025
AMPICILLIN 1GM (VIAL)
01/25/2025
01/31/2025
IV
2g
Q6hr
PPROM
Waiting Final Action 
01/27/2025
CEFUROXIME 500MG (TAB)
01/27/2025
02/02/2025
ORAL
500 Mg
BID
Sp NSVD With RMLE
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: