Malingin, Amy Sheila G.

HRN: 01-22-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/19/2022
CEFUROXIME 1.5GM (VIAL)
07/19/2022
07/19/2022
IV
1.5g
LD
Preop Prophylaxis; Ectopic Pregnancy
Waiting Final Action 
07/20/2022
CEFUROXIME 1.5GM (VIAL)
07/20/2022
07/21/2022
IV
1.5g
Q8
Post Op Prophylaxis
Waiting Final Action 
07/20/2022
DOXYCYCLINE 100MG (CAP)
07/20/2022
07/27/2022
PO
100mg
Q12
Post Op Prophylaxis
Waiting Final Action 
07/20/2022
CEFUROXIME 500MG (TAB)
07/20/2022
07/27/2022
ORAL
500mg
Q12
Post OP (Pelvic Laparotomy, Appendectomy)
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: