Albia, Jose P.

HRN: 22-95-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/25/2023
CEFUROXIME 1.5GM (VIAL)
04/25/2023
05/02/2023
IV
1.5grams
Q8hours
Empiric
Waiting Final Action 
04/25/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/25/2023
05/02/2023
IV
500mg
Q8hrs
Empiric
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: