Escribano, Elenita .

HRN: 25-35-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/29/2024
AMPICILLIN 1GM (VIAL)
06/29/2024
07/05/2024
IV
2g
Q6
Thickly Meconium AF PROM
Waiting Final Action 
06/30/2024
CEFUROXIME 500MG (TAB)
06/30/2024
07/07/2024
PO
1 Tab
BID
SP Vaginal Breech Delivery; PROM
Waiting Final Action 
06/30/2024
METRONIDAZOLE 500MG (TAB)
06/30/2024
07/07/2024
PO
1 Tab
TID
SP Vaginal Breech Delivery; PROM
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: