Cabintoy, Maricel L.

HRN: 26-64-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/07/2025
CEFTRIAXONE 1G (VIAL)
02/07/2025
02/14/2025
IV
2G
OD
ACUTE PYELONEPHRITIS
Waiting Final Action 
02/07/2025
CEFUROXIME 1.5GM (VIAL)
02/07/2025
02/14/2025
IV
1.5 G
Q8HRS
ACUTE PYELONEPHRITIS
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: