Del Monte, May Ann .

HRN: 23-40-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/28/2023
CEFUROXIME 1.5GM (VIAL)
07/28/2023
07/29/2023
IV
1.5gm
Prior OR
Prophylaxis
Waiting Final Action 
07/29/2023
CEFUROXIME 1.5GM (VIAL)
07/29/2023
07/30/2023
IV
1.5gm
Q8 X 3 More Doses
Post OP Prophylaxis
Waiting Final Action 
07/29/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/29/2023
07/30/2023
IV
500mg Tab
Q8 X 6 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: