Acasio, Brailyn .

HRN: 02-65-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/05/2023
CEFTRIAXONE 1G (VIAL)
04/05/2023
04/11/2023
IV
1.5grams
Q8hrs
UTI
04/09/2023
CEFUROXIME 1.5GM (VIAL)
04/09/2023
04/15/2023
IV
1.5g
Q8h
Uti

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: