Lubat, Princess .

HRN: 01-06-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/30/2023
CEFUROXIME 1.5GM (VIAL)
11/30/2023
11/30/2023
IVT
1.5 Gram
On Call To OR ANST
STAT CS
Waiting Final Action 
11/30/2023
CEFUROXIME 1.5GM (VIAL)
11/30/2023
12/01/2023
IV
Q8 X 3doses
X 3 Doses
Post OP Prophylaxis
Waiting Final Action 
12/01/2023
CEFUROXIME 500MG (TAB)
12/01/2023
12/07/2023
PO
500mg
BID
LTCS
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: