Yac-ao, Artcris B.

HRN: 23-40-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/13/2023
CEFAZOLIN 1GM (VIAL)
08/14/2023
08/14/2023
IVTT
2g
PTOR
For Pelvic Lap
Waiting Final Action 
08/14/2023
CEFAZOLIN 1GM (VIAL)
08/14/2023
08/15/2023
IV
1g
Q12
S/p Pelvic Lap; S/p AP
Waiting Final Action 
08/15/2023
CEFUROXIME 500MG (TAB)
08/15/2023
08/22/2023
PO
500mg
BID
S/P Pelvic Lap
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: