Bagalanon, Georgina M.

HRN: 04-42-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2024
CEFUROXIME 1.5GM (VIAL)
09/09/2024
09/10/2024
IV
1.5
Ptor
Incomplete Miscarriage, Non Septic Non Induced
Waiting Final Action 
09/09/2024
CEFUROXIME 500MG (TAB)
09/09/2024
09/15/2024
PO
500mg
Bid
Abortion
Waiting Final Action 
09/09/2024
CEFUROXIME 500MG (TAB)
09/16/2024
09/16/2024
PO
500 Mg
BID
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: