Caril, Trisha Mae .

HRN: 05-14-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/22/2024
CEFUROXIME 500MG (TAB)
05/22/2024
05/29/2024
PO
500mg Tab
BID
UTI
Waiting Final Action 
05/22/2024
AMPICILLIN 1GM (VIAL)
05/22/2024
05/25/2024
IV
2gm
Q6
UTI, Prophylaxis T/c Chorioamnionitis
Waiting Final Action 
05/26/2024
CEFUROXIME 500MG (TAB)
05/26/2024
06/02/2024
PO
500 Mg
BID
UTI In Pregnancy
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: