Jovenal, Erlyn G.

HRN: 03-99-05  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/27/2023
CEFUROXIME 1.5GM (VIAL)
03/27/2023
03/27/2023
IVTT
1.5g
Now
CS Prophylaxis
Waiting Final Action 
03/27/2023
CEFUROXIME 1.5GM (VIAL)
03/27/2023
03/28/2023
IVTT
1.5g
Q8 X 2 More Doses
S/p CS
Waiting Final Action 
03/27/2023
CEFUROXIME 500MG (TAB)
03/28/2023
04/04/2023
PO
500mg
Bid
S/p CS
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: