Madanguit, Desirie .

HRN: 22-77-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2023
CEFTRIAXONE 1G (VIAL)
03/24/2023
03/30/2023
IV
1 G
Q24
UTI
Waiting Final Action 
04/08/2023
CEFUROXIME 1.5GM (VIAL)
04/08/2023
04/10/2023
IVT
1.5g
Q8H
S/P Primary LTCS With IUD
Waiting Final Action 
04/08/2023
CEFUROXIME 500MG (TAB)
04/08/2023
04/14/2023
PO
500mg
BID
S/P Primary LTCS
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: