Villaruz, Analyn A.

HRN: 25-77-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2024
CEFUROXIME 1.5GM (VIAL)
08/23/2024
08/30/2024
IV
1.5 Grams
Q8
Incomplete Abortion
Waiting Final Action 
08/29/2024
CLINDAMYCIN 300MG (CAP)
08/29/2024
09/05/2024
PO
300mg
TID X 7 Days
S/P Completion Curettage
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: