Mirafuentes, Analyn J.

HRN: 22-34-23  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/15/2022
CEFUROXIME 1.5GM (VIAL)
12/15/2022
12/16/2022
IV
1.5 G
Loading Dose
For Stat Abdominopelvic Laparotomy
Waiting Final Action 
12/16/2022
CEFTRIAXONE 1G (VIAL)
12/16/2022
12/23/2022
IVTT
2g
OD
S/P Pelvic Lap
Waiting Final Action 
12/20/2022
CEFUROXIME 500MG (TAB)
12/20/2022
12/27/2022
ORAL
500mg
BID
UTI
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: