Dacles, Cristy M.

HRN: 22-25-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/27/2022
CEFTRIAXONE 1G (VIAL)
11/28/2022
11/28/2022
IVT
2g
LD
Preop Prophylaxis
Waiting Final Action 
11/27/2022
CEFTRIAXONE 1G (VIAL)
11/27/2022
12/04/2022
IV
2g
OD
Postop Prophylaxis
Waiting Final Action 
11/27/2022
DOXYCYCLINE 100MG (CAP)
11/27/2022
12/04/2022
PO
100mg
BID
T/C PID
Waiting Final Action 
11/28/2022
DOXYCYCLINE 100MG (CAP)
11/28/2022
12/05/2022
ORAL
100mg
BID
S/P EL, Left Salpingectomy
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: