Arevalo, Jennelyn E.

HRN: 02-24-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/15/2026
CEFUROXIME 500MG (TAB)
08/15/2026
08/21/2026
PO
500
BID
Sp NSVD Manual Extraction Of Placenta
Remove - Pending Acceptance
08/15/2026
CEFTRIAXONE 1G (VIAL)
08/15/2026
08/21/2026
IV
2 Grams
Od
Manual Extraction Of Placenta
Remove - Pending Acceptance
08/15/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/15/2026
08/20/2026
IV
500
Q8
SP MANUAL EXTRACTION OD PLACENTA
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: