Delfino, Abe Gil .

HRN: 17-70-82  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/24/2024
CEFUROXIME 1.5GM (VIAL)
04/24/2024
04/24/2024
IV
1.5gm
Prior OR
Prophylaxis
Waiting Final Action 
04/24/2024
CEFUROXIME 1.5GM (VIAL)
04/24/2024
04/24/2024
IV
1.5 Grams
Q8 X 3 Doses
SP 1LTCS W IUD
Waiting Final Action 
04/24/2024
CEFUROXIME 500MG (TAB)
04/25/2024
05/01/2024
PO
1 Tab
BID
SP 1LTCS W IUD
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: