Tormis, Shann Mare C.

HRN: 26-00-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/04/2024
AMPICILLIN 1GM (VIAL)
10/04/2024
10/10/2024
IV
2 Grams
Every 6 Hours
Premature Rupture Of Membranes
Waiting Final Action 
10/05/2024
CEFUROXIME 1.5GM (VIAL)
10/05/2024
10/06/2024
IV
750mg
Qhrs X 3 Doses
Post Op Prophylaxis
Waiting Final Action 
10/05/2024
CEFUROXIME 500MG (TAB)
10/07/2024
10/13/2024
PO
1 Tab
Bid
Post Op Prophylaxis
Waiting Final Action 
10/06/2024
METRONIDAZOLE 500MG (TAB)
10/06/2024
10/12/2024
ORAL
500mg
TID
S/P LTCS
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: