Aguilar, Drianna O.

HRN: 21-26-52  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/04/2022
AMPICILLIN 500MG (VIAL)
09/04/2022
09/10/2022
IV
140mg
Q6hrs
Age With Mod Dhn
Waiting Final Action 
09/04/2022
CEFUROXIME 1.5GM (VIAL)
09/04/2022
09/10/2022
IVT
150mg
Q8
UTI
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: