Aclo, April Jane A.

HRN: 23-23-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/24/2023
CEFUROXIME 750MG (VIAL)
06/24/2023
07/01/2023
IV
475MG
Q8hrs
T/C Acute Appendicitis
Waiting Final Action 
06/24/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/24/2023
07/01/2023
IV
250mg
Q8hrs
T/C Acute Appendicitis
Waiting Final Action 
06/24/2023
CEFUROXIME 750MG (VIAL)
06/24/2023
06/30/2023
IVT
750mg
Q8
Acute Appendicitis
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: