Dasmariñas, Paula Mae .

HRN: 20-36-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/10/2023
CEFTRIAXONE 1G (VIAL)
02/10/2023
02/16/2023
IV
2g
Q24
UTI
Waiting Final Action 
02/10/2023
CEFUROXIME 500MG (TAB)
02/10/2023
02/17/2023
PO
500 Mg
BID
S/P Episiorraphy
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: