Madera, Melanie D.

HRN: 22-80-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/20/2023
CEFUROXIME 750MG (VIAL)
03/20/2023
03/26/2023
IV
750 Mg
Q8
In Preterm Labor, Skin Infection
03/20/2023
CEFTRIAXONE 1G (VIAL)
03/20/2023
03/26/2023
IV
1 G
Q12
T/C Sepsis
Waiting Final Action 
03/23/2023
CEFUROXIME 500MG (TAB)
03/23/2023
03/30/2023
ORAL
500mg
BID
S/P LTCS
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: