Limba, Jemailyn N.

HRN: 08-03-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/03/2023
CEFTRIAXONE 1G (VIAL)
03/03/2023
03/03/2023
IV
2 Grams
On Call To OR
Ruptured Ectopic Pregnancy
Waiting Final Action 
03/04/2023
CEFTRIAXONE 1G (VIAL)
03/04/2023
03/11/2023
IV
1 Gram
Every 8 Hours
S/P Salpingectomy
03/04/2023
DOXYCYCLINE 100MG (CAP)
03/04/2023
03/11/2023
PO
100mg
BID For 7 Days
PID
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: