Paciol, Rommel A.

HRN: 22-45-96  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/07/2023
CEFUROXIME 750MG (VIAL)
01/07/2023
01/14/2023
IV
1.5
Q8
Fracture
Waiting Final Action 
01/14/2023
CEFUROXIME 500MG (TAB)
01/14/2023
01/21/2023
PO
500mg
TID
Fracture, S/p ORIF
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: