Rondrique, Mary Joy L.

HRN: 03-31-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2025
CEFUROXIME 500MG (TAB)
02/03/2025
02/09/2025
PO
500 Mg Tab
BID
Bilateral Pneumonia
Checking Final Appropriateness 
02/04/2025
CEFTRIAXONE 1G (VIAL)
02/04/2025
02/10/2025
IV
2 Grams
Od
Bilateral Pneumonia
Waiting Final Action 
02/06/2025
CEFUROXIME 500MG (TAB)
02/06/2025
02/09/2025
PO
1cap
BID
Pneumonia
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: