Wabe, Fe C.

HRN: 13-63-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2022
CEFUROXIME 1.5GM (VIAL)
07/03/2022
07/03/2022
IV
1.5 Grams
Loading Dose
STAT Pelvic Explore Lap
Waiting Final Action 
07/03/2022
CEFAZOLIN 1GM (VIAL)
07/03/2022
07/03/2022
IVTT
2 Grams
Loading Dose
Stat Pelvic Explore Lap
Waiting Final Action 
07/03/2022
CEFAZOLIN 1GM (VIAL)
07/03/2022
07/05/2022
IV
2grams
Q8 X 7 Doses
S/p Pelvic 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: