Dela Cerna, Shiela .

HRN: 08-65-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/28/2022
CEFUROXIME 750MG (VIAL)
09/28/2022
10/05/2022
IVTT
750mg
Q8
Uti
Waiting Final Action 
10/01/2022
CEFTRIAXONE 1G (VIAL)
10/01/2022
10/07/2022
IV DRIP
2g
OD
Typhoid Fever
Waiting Final Action 
10/07/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/07/2022
10/11/2022
PO
500mg
OD
Typhoid Fever
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: