Coronel, Maricel Mare .

HRN: 11-11-84  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/16/2022
CEFUROXIME 1.5GM (VIAL)
06/16/2022
06/16/2022
IV
1.5grams
Loading Dose
Surgical Prophylaxis; TMSAF
Waiting Final Action 
06/16/2022
CEFUROXIME 1.5GM (VIAL)
06/16/2022
06/19/2022
IV
1.5 Grams
Q8H X 3 Days
Surgical Prophylaxis; TMSAF
Waiting Final Action 
06/16/2022
CEFUROXIME 1.5GM (VIAL)
06/16/2022
06/19/2022
IV
1.5 Grams
Q8H X 3 Days
Surgical Prophylaxis; TMSAF
Waiting Final Action 
06/16/2022
METRONIDAZOLE 500MG (TAB)
06/16/2022
06/19/2022
IV
500mg
Q8H X 3 Days
Surgical Prophylaxis; TMSAF
Waiting Final Action 
06/17/2022
METRONIDAZOLE 500MG (TAB)
06/17/2022
06/24/2022
PO
500mg
TID
Surgical Prophylaxis; TMSAF
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: