Nang, Princess B.

HRN: 00-85-89  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/02/2023
CEFTRIAXONE 1G (VIAL)
03/02/2023
03/09/2023
IV
1 Gram
Q 12hrs
STD
Waiting Final Action 
03/02/2023
FLUCONAZOLE 150MG (CAP)
03/02/2023
03/02/2023
ORAL
150mg
Single Dose
Vaginal Candidiasis
Waiting Final Action 
03/06/2023
METRONIDAZOLE 500MG (TAB)
03/06/2023
03/13/2023
ORAL
500mg
BID
PID; UTI
Waiting Final Action 
03/06/2023
DOXYCYCLINE 100MG (CAP)
03/06/2023
03/13/2023
ORAL
100mg
BID
PID; UTI
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: