Juranes, Mary Kris C.

HRN: 22-24-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/15/2022
AMPICILLIN 1GM (VIAL)
12/15/2022
12/21/2022
IV
2g
Q6
PROM
Waiting Final Action 
12/15/2022
CIPROFLOXACIN 500MG (TAB)
12/15/2022
12/21/2022
ORAL
500mg
BID
SP RMLE, PROM X 4 HRS
Waiting Final Action 
12/15/2022
CEFUROXIME 500MG (TAB)
12/15/2022
12/21/2022
ORAL
500mg
BID
SP RMLE, PROM X 4 HRS
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: