Prones, Melody R.

HRN: 23-82-51  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/01/2023
AMPICILLIN 1GM (VIAL)
10/01/2023
10/08/2023
IVT
2GM
Q6
PROM
Waiting Final Action 
10/02/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/02/2023
10/03/2023
IV
500mg
Q8h
S/p Primary LTCS
Waiting Final Action 
10/03/2023
CEFUROXIME 500MG (TAB)
10/03/2023
10/10/2023
PO
500 Mg
BID
S/p LSCS
Checking Final Appropriateness 
10/03/2023
METRONIDAZOLE 500MG (TAB)
10/03/2023
10/10/2023
PO
500 Mg
TID
S/p LSCS
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: