Fernandez, Jeowanie .

HRN: 24-58-80  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/21/2024
CEFUROXIME 1.5GM (VIAL)
02/21/2024
02/22/2024
IV
1.5 G
Loading Dose
For Completion Curettage
Waiting Final Action 
02/21/2024
CLINDAMYCIN 300MG (CAP)
02/21/2024
02/28/2024
ORAL
300mg
TID
S/P Completion Curettage
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: