Lambo, Monica D.

HRN: 00-65-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/02/2022
AMPICILLIN 1GM (VIAL)
10/02/2022
10/09/2022
IV
2grams
Q6
PROM
Waiting Final Action 
10/02/2022
CEFUROXIME 1.5GM (VIAL)
10/02/2022
10/02/2022
IV
1.5GM
On Call To OR
For Stat CS - Thickly MSAF
Waiting Final Action 
10/02/2022
CEFUROXIME 1.5GM (VIAL)
10/02/2022
10/09/2022
IVTT
1.5gm
Q8H
S/p LTCS TMSAF
Waiting Final Action 
10/02/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
10/02/2022
10/09/2022
IVTT
500mg
Q8H
S/p LTCS TMSAF
Waiting Final Action 
10/03/2022
CEFUROXIME 500MG (TAB)
10/03/2022
10/09/2022
ORAL
1cap
BID
Sp Ltcs
Waiting Final Action 
10/03/2022
METRONIDAZOLE 500MG (TAB)
10/03/2022
10/09/2022
ORAL
1 Cap
TID
SP LTCS; Thickly Meconium
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: