Delapane, Ana Y.

HRN: 23-27-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/08/2023
AMPICILLIN 1GM (VIAL)
09/08/2023
09/10/2023
IV
2 G
Q6 Hour
Leaking Bag Of Water
Waiting Final Action 
09/08/2023
CEFUROXIME 1.5GM (VIAL)
09/08/2023
09/09/2023
IV
1.5
Q8
Cs
Waiting Final Action 
09/08/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/08/2023
09/09/2023
IV
500
Q8
Cs
Waiting Final Action 
09/09/2023
CEFUROXIME 500MG (TAB)
09/09/2023
09/15/2023
PO
500mg
BID
CS
Waiting Final Action 
09/09/2023
CEFUROXIME 500MG (TAB)
09/09/2023
09/15/2023
PO
500mg
BID
CS
Waiting Final Action 
09/09/2023
METRONIDAZOLE 500MG (TAB)
09/09/2023
09/15/2023
PO
500
TID
Cs
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: