Cariño, Mae-ann R.

HRN: 22-68-21  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2023
CEFUROXIME 1.5GM (VIAL)
03/25/2023
03/25/2023
IV
1.5grams
On Call To OR ANST
For Repeat CS
Waiting Final Action 
03/25/2023
CEFUROXIME 1.5GM (VIAL)
03/25/2023
03/27/2023
IV
1.5 G
Q8 X 3 More Doses
SP CS With IUD
Waiting Final Action 
03/26/2023
CEFUROXIME 500MG (TAB)
03/26/2023
04/02/2023
PO
500mg
BID X 7 Days
S/P LSTCS
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: