Fernando, Teresita C.

HRN: 21-07-92  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2023
CEFUROXIME 1.5GM (VIAL)
06/28/2023
06/29/2023
IV
1.5grams
Q8 X 3 Doses
WBC: 30.2
Waiting Final Action 
07/21/2023
CEFUROXIME 1.5GM (VIAL)
07/22/2023
07/25/2023
IV
1.5gm
Prior OR
Prophylaxis
Waiting Final Action 
07/22/2023
CEFUROXIME 1.5GM (VIAL)
07/22/2023
07/23/2023
IV
1.5grams
Q8 X 2 Doses
Post Op 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: