Liga, Remelyne A.

HRN: 22-03-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/10/2022
CEFUROXIME 500MG (TAB)
10/10/2022
10/17/2022
ORAL
1tab
BID
UTI
Waiting Final Action 
10/11/2022
CEFUROXIME 750MG (VIAL)
10/11/2022
10/18/2022
IV
750mg
Q8
UTI
10/11/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/11/2022
10/16/2022
ORAL
1 Tab
OD
CAP-MR
Waiting Final Action 
11/21/2022
CEFUROXIME 1.5GM (VIAL)
11/21/2022
11/22/2022
IVT
1.5gms
Q8H
S/P LTCS With Intra CS IUD
Waiting Final Action 
11/21/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
11/21/2022
11/22/2022
IVT
500mg
Q8H
S/P LTCS With Intra CS IUD
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: