Macalipay, Aileen .

HRN: 23-28-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/30/2023
CEFUROXIME 1.5GM (VIAL)
06/30/2023
06/30/2023
IV
1.5gm
LD
Salpingectomy, Prophylaxis
Waiting Final Action 
06/30/2023
CEFUROXIME 1.5GM (VIAL)
06/30/2023
07/07/2023
IV
1.5gm
Q8
Sp Salpingectomy
Waiting Final Action 
07/01/2023
CEFUROXIME 500MG (TAB)
07/01/2023
07/07/2023
ORAL
500mg
BID
Pelvic Lap
Waiting Final Action 
07/02/2023
DOXYCYCLINE 100MG (CAP)
07/02/2023
07/08/2023
ORAL
100mg
BID
Ectopic
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: