Arsenal, Jenelyn D.

HRN: 22-58-82  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2023
AMPICILLIN 1GM (VIAL)
02/12/2023
02/13/2023
IV
2 Grams
Every 6 Hours
PROM
Waiting Final Action 
02/13/2023
CEFUROXIME 1.5GM (VIAL)
02/13/2023
02/13/2023
IV
1.5gram
Now
Stat Evacuation Of Vaginal Hematoma
Waiting Final Action 
02/13/2023
CEFUROXIME 1.5GM (VIAL)
02/13/2023
02/20/2023
IV
1.5gram
Q 8hrs
Evacuation Of Vaginal Hematoma
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: