Pamiron, Jacqueline .

HRN: 22-66-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CEFUROXIME 500MG (TAB)
05/27/2023
06/02/2023
PO
500mg
BID
Post Episiorrhaphy
Checking Final Appropriateness 
05/27/2023
CEFUROXIME 1.5GM (VIAL)
05/27/2023
06/02/2023
IV
1.5gm
Q8
Elevated WBC
Checking Final Appropriateness 

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: