Delos Santos, Caroline D.

HRN: 16-21-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/25/2022
CEFUROXIME 1.5GM (VIAL)
09/26/2022
09/26/2022
IVTT
1.5gm
LD
For Elective CS
Waiting Final Action 
09/26/2022
CEFUROXIME 750MG (VIAL)
09/26/2022
09/29/2022
IV
750mg
Q8
Post Op Prophylaxis
09/27/2022
CEFUROXIME 500MG (TAB)
09/27/2022
10/04/2022
ORAL
500mg/tab
BID
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: