Fuentes, Joseph .

HRN: 15-29-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/08/2023
CEFUROXIME 1.5GM (VIAL)
06/08/2023
06/14/2023
IV
1.5g
Loading Dose
T/C Acute Appendicitis
Waiting Final Action 
06/08/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/08/2023
06/14/2023
IV
500mg
Q8
T/C Acute Appendicitis
Waiting Final Action 
06/09/2023
CEFTRIAXONE 1G (VIAL)
06/09/2023
06/16/2023
IV
2g
Q24h
Acute Appendicitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: