Fugoso, Joy E.

HRN: 22-75-16  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/11/2025
CEFUROXIME 1.5GM (VIAL)
02/11/2025
02/12/2025
IVT
1.5 Gms
On Call To OR Then Q 8
Ltcs
Waiting Final Action 
02/12/2025
CEFUROXIME 1.5GM (VIAL)
02/12/2025
02/12/2025
IV
1500mg
Every 8 Hours
S/P LTCS
Waiting Final Action 
02/12/2025
CEFUROXIME 500MG (TAB)
02/13/2025
02/19/2025
ORAL
500mg
2 Times A Day
S/P LTCS
Waiting Final Action 
02/12/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/12/2025
02/14/2025
IV
500mg
Every 12 Hours
S/P LTCS
Waiting Final Action 
02/12/2025
METRONIDAZOLE 500MG (TAB)
02/14/2025
02/20/2025
ORAL
500mg
Every 8 Hours
S/P LTCS
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: