Poran, Jocelyn P.

HRN: 22-89-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/22/2023
AMPICILLIN 1GM (VIAL)
07/22/2023
07/24/2023
IV
2g
Q6hrs
Leaking BOW
Waiting Final Action 
07/22/2023
CEFUROXIME 500MG (TAB)
07/22/2023
07/29/2023
PO
500 MG
BID
Post Nsvd With Rmle And Repair
Waiting Final Action 
07/22/2023
METRONIDAZOLE 500MG (TAB)
07/22/2023
07/29/2023
PO
500 MG
TID
Post Nsvd With Rmle And Repair
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: