Portabis, Daisyrl F.

HRN: 15-52-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/28/2022
CEFAZOLIN 1GM (VIAL)
09/28/2022
09/28/2022
IVT
2gms
On Call To OR
For STAT EXLAP
Waiting Final Action 
09/28/2022
CEFAZOLIN 1GM (VIAL)
09/28/2022
10/04/2022
IVTT
2gm
Q8
Left Salpingectomy; Evacuation Of Uteroperitoneum
Waiting Final Action 
09/30/2022
CEFUROXIME 500MG (TAB)
09/30/2022
10/06/2022
PO
500MG
BID
S/P Left Salpingectomy Evac Or Uteroperitoneum And Lavage
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: