Gonzaga, Lowelyn P.

HRN: 22-57-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/02/2023
CEFUROXIME 1.5GM (VIAL)
02/02/2023
02/02/2023
IVTT
1.5gm
On Call To OR
For Stat CS
Waiting Final Action 
02/03/2023
CEFUROXIME 500MG (TAB)
02/03/2023
02/09/2023
ORAL
Oral
BID
S/P CS
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: