Dagoc, Ailene M.

HRN: 20-56-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/16/2022
CEFUROXIME 1.5GM (VIAL)
07/16/2022
07/16/2022
IVT
1
On Call To OR
For Stat CS
Waiting Final Action 
07/17/2022
CEFUROXIME 500MG (TAB)
07/17/2022
07/24/2022
ORAL
500mg Tab
Q12
Post OP (Cesarean Section) Empiric De-escalation
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: