Englisa, Enelyn D.

HRN: 22-82-27  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/05/2023
CEFTRIAXONE 1G (VIAL)
04/05/2023
04/12/2023
IVT
1gm
On Call To OR Then Q 12hrs
Pelvic Laparotomy
Waiting Final Action 
04/05/2023
CEFUROXIME 500MG (TAB)
04/07/2023
04/13/2023
PO
500mg
BID
S/P Pelvic Lap
Waiting Final Action 
04/05/2023
DOXYCYCLINE 100MG (CAP)
04/06/2023
04/12/2023
PO
100mg
Q12
S/P Pelvic Lap
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: