Araneta, Catalina A.

HRN: 43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/17/2022
CEFTRIAXONE 1G (VIAL)
09/17/2022
09/23/2022
IV
2g
OD
UTI
Waiting Final Action 
09/22/2022
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
09/22/2022
09/28/2022
IV
750 Mg
Q24H
Urinary Tract Infection (ordered By Dr. Sontillano)
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: