Mundo, Lucita R.

HRN: 07-15-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/05/2025
CEFTAZIDIME 1GM (VIAL)
04/05/2025
04/11/2025
IVTT
1g
Q8
Complicated Urinary Tract Infection, Urosepsis
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: