Bolima, Chona .

HRN: 27-50-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2025
CEFTRIAXONE 1G (VIAL)
07/18/2025
07/18/2025
IV
1 G
PTOR
Pelvic Lap
Waiting Final Action 
07/18/2025
CEFTRIAXONE 1G (VIAL)
07/18/2025
07/19/2025
IV
1 G X 3 Doses
Q12
Sp Pelvic Laparotomy
Waiting Final Action 
07/19/2025
CEFUROXIME 500MG (TAB)
07/19/2025
07/26/2025
PO
1 Tab
BID
SP Pelvic Lap
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: