Salvacion, Jermae Grace O.

HRN: 24-51-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/07/2024
CEFUROXIME 500MG (TAB)
03/07/2024
03/13/2024
PO
500mg
BID
UTI
Waiting Final Action 
03/09/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/09/2024
03/10/2024
IV
500mg
Q8
S/P Primary LTCS+intracesarean IUD Insertion
Checking Final Appropriateness 
03/09/2024
CEFUROXIME 1.5GM (VIAL)
03/09/2024
03/10/2024
IV
1.5 G
Q8
S/P Primary LTCS +intracesarean IUD
Checking Final Appropriateness 
03/10/2024
CEFUROXIME 500MG (TAB)
03/10/2024
03/17/2024
PO
500mg
Bid
S/P LTCS
Waiting Final Action 
03/10/2024
METRONIDAZOLE 500MG (TAB)
03/10/2024
03/17/2024
PO
500mg
Tid
S/P 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: