Santos, Ann-ann J.

HRN: 22-14-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/14/2022
AMPICILLIN 1GM (VIAL)
11/14/2022
11/16/2022
IV
2gms
Q6H
PROM
Waiting Final Action 
11/15/2022
CEFUROXIME 500MG (TAB)
11/15/2022
11/21/2022
PO
1 Tab
BID
PROM S/p NSVD
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: