Diez, Jean D.

HRN: 23-19-32  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2023
CEFAZOLIN 1GM (VIAL)
06/10/2023
06/10/2023
IV
2 Grams
Now
Ectopic Pregnancy
Waiting Final Action 
06/10/2023
CEFUROXIME 500MG (TAB)
06/11/2023
06/18/2023
PO
500
BIDx7days
Post Pelvic Lap Followed Up By Evacuation Of Hemaperitoneum, Ffup Salphingectomy Right; Post Prophylaxis
Waiting Final Action 
06/10/2023
DOXYCYCLINE 100MG (CAP)
06/11/2023
06/18/2023
PO
100mg
BID
Post Pelvic Lap Followed Up By Evacuation Of Hemaperitoneum, Ffup Salphingectomy Right; Post Prophylaxis
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: