Pacquiao, Jocelyn K.

HRN: 01-20-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/11/2022
CEFTRIAXONE 1G (VIAL)
10/11/2022
10/17/2022
IV
1gm (Renal Dose)
OD
UTI
Waiting Final Action 
10/12/2022
CEFTRIAXONE 1G (VIAL)
10/12/2022
10/19/2022
IV
2 Grams
OD
Uremia Sec To CKD V Sec To CGN
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: