Peralta, Jennifer M.

HRN: 10-29-89  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/21/2024
CEFUROXIME 1.5GM (VIAL)
12/21/2024
12/22/2024
IV
1.5 Gram
Q8 X 2 Doses
SP 1LTCS
Waiting Final Action 
12/21/2024
CEFUROXIME 500MG (TAB)
12/22/2024
12/29/2024
PO
1 Tab
BID
SP 1LTCS
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: