Reyes, Jo-ann .

HRN: 23-01-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/09/2023
AMPICILLIN 1GM (VIAL)
05/09/2023
05/10/2023
IV
2 Grams
Every 6 Hours
PROM
Waiting Final Action 
05/10/2023
CEFUROXIME 500MG (TAB)
05/10/2023
05/17/2023
PO
500mg
BID
PROM X19hours With 2nd Degree Laceration
Waiting Final Action 
05/10/2023
CEFUROXIME 500MG (TAB)
05/10/2023
05/17/2023
ORAL
500mg
BID
Prom X 12hrs
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: