Limpag, Mildred B.

HRN: 22-07-31  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/17/2022
CEFTRIAXONE 1G (VIAL)
10/17/2022
10/18/2022
IV
2gms
Prior To OR
For Pelvic Laparotomy With Possible Salpingectomy
Waiting Final Action 
10/19/2022
DOXYCYCLINE 100MG (CAP)
10/19/2022
10/26/2022
PO
100 Mg
2x A Day
Empiric
Waiting Final Action 
10/19/2022
METRONIDAZOLE 500MG (TAB)
10/19/2022
10/26/2022
ORAL
500 Mg
2x A Day
Empiric Treatment
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: