Empis, Riezyl A.

HRN: 26-64-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/09/2025
CEFUROXIME 1.5GM (VIAL)
02/09/2025
02/09/2025
IV
1.5
PTOR
Surgical Prophylaxis
Waiting Final Action 
02/09/2025
CEFAZOLIN 1GM (VIAL)
02/09/2025
02/09/2025
IV
2 Grams
PTOR
Surgical Prophylaxis
Waiting Final Action 
02/09/2025
CEFAZOLIN 1GM (VIAL)
02/09/2025
02/10/2025
IVT
1g
Q8
S/p Pelvic Lap
Waiting Final Action 
02/09/2025
DOXYCYCLINE 100MG (CAP)
02/09/2025
02/16/2025
PO
100mg
BID
S/p Pelvic Lap
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: