Bornales, Oneda J.

HRN: 24-13-56  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/26/2023
AMPICILLIN 1GM (VIAL)
11/26/2023
11/26/2023
IV
2grams
Now Only
S/P Primary LSTCS
Checking Final Appropriateness 
11/26/2023
CEFUROXIME 1.5GM (VIAL)
11/26/2023
11/29/2023
IV
1.5 Grams
Q8hrs X 3 Days
S/P Primary LSTCS
Checking Final Appropriateness 
11/29/2023
CEFUROXIME 500MG (TAB)
11/29/2023
12/05/2023
ORAL
500mg
Bid
Urinary Tract Infection
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: