Gonzaga, Mary Jane L.

HRN: 22-70-49  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/12/2023
CEFAZOLIN 1GM (VIAL)
03/13/2023
03/13/2023
IV
2 Grams
Loading Dose
For CS
Waiting Final Action 
03/13/2023
CEFUROXIME 500MG (TAB)
03/13/2023
03/20/2023
PO
500 Mg
BID
S/P Primary LSCS
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: