Nena, Baculi L.

HRN: 24-61-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2024
CEFAZOLIN 1GM (VIAL)
04/08/2024
04/08/2024
IVT
2g
Once On Call To OR
G1P1 (1001) Myoma Uteri
Waiting Final Action 
04/08/2024
CEFAZOLIN 1GM (VIAL)
04/08/2024
04/09/2024
IV
2grams
Q8 X 2 More Doses
S/P TAHBSO
Waiting Final Action 
04/09/2024
CEFUROXIME 500MG (TAB)
04/09/2024
04/16/2024
PO
500
2x
EX LAP
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: