Caupit, Analiza .

HRN: 18-97-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/29/2023
CEFAZOLIN 1GM (VIAL)
03/29/2023
03/29/2023
IV
2g
LD
For Stat CS
Waiting Final Action 
03/29/2023
CEFAZOLIN 1GM (VIAL)
03/29/2023
04/04/2023
IV
2 G
OD
SP CS With IUD
Waiting Final Action 
03/30/2023
CEFUROXIME 500MG (TAB)
03/30/2023
04/06/2023
PO
500mg
BID X 7 Days
S/P CS With IUD
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: