Llanos, Arlyn S.

HRN: 11-18-95  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/06/2023
CEFUROXIME 1.5GM (VIAL)
10/06/2023
10/13/2023
IV
1.5gms
On Call To OR Then Q 8 Hrs
LTCS
Waiting Final Action 
10/06/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/06/2023
10/09/2023
IV
500mg
Q8
S/P Primary LTCS
Waiting Final Action 
10/07/2023
CEFUROXIME 500MG (TAB)
10/07/2023
10/14/2023
PO
500mg
BID
Repeat CS
Waiting Final Action 
10/07/2023
METRONIDAZOLE 500MG (TAB)
10/07/2023
10/14/2023
PO
500
TID
Repeat CS
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: