Salumag, Geraldine C.

HRN: 22-93-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/21/2023
CEFAZOLIN 1GM (VIAL)
04/21/2023
04/22/2023
IV
2g
OD
E CS
Waiting Final Action 
04/21/2023
CEFAZOLIN 1GM (VIAL)
04/21/2023
04/27/2023
IV
1gm
BID
S/P LTCS
Checking Final Appropriateness 
04/21/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/21/2023
04/27/2023
IV
500mg
TID
S/P LTCS
Checking Final Appropriateness 
04/22/2023
CEFUROXIME 500MG (TAB)
04/22/2023
04/29/2023
PO
1 Tab
BID
SP PLTCs WITH REPAIR
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: