Jeane, Villaroya .

HRN: 11-12-22  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/03/2022
CEFUROXIME 1.5GM (VIAL)
11/03/2022
11/05/2022
IV
1.5
Q8 X 2 Doses
S/P CS
Waiting Final Action 
11/03/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/03/2022
11/05/2022
IV
500 Mg
Q8 X 3 Doses
S/P CS
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: