Salera, Maris .

HRN: 22-42-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/07/2023
CEFTRIAXONE 1G (VIAL)
01/07/2023
01/08/2023
IVTT
1 G
Q 24 H Prior To OR
Ectopic Pregnancy
Waiting Final Action 
01/07/2023
CEFTRIAXONE 1G (VIAL)
01/07/2023
01/14/2023
2 G
IVT
Q24 H
S/P Pelvic Laparotomy
Waiting Final Action 
01/08/2023
CEFUROXIME 500MG (TAB)
01/08/2023
01/15/2023
PO
500mg
BID
S/p Pelvic Lap
Waiting Final Action 
01/08/2023
DOXYCYCLINE 100MG (CAP)
01/08/2023
01/15/2023
PO
500mg
BID
S/p Pelvic Lap
Waiting Final Action 
01/08/2023
METRONIDAZOLE 500MG (TAB)
01/08/2023
01/15/2023
PO
500mg
TID
S/p Pelvic Lap
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: