Suarin, Ronessa Gay .

HRN: 22-93-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/25/2023
AMPICILLIN 1GM (VIAL)
04/25/2023
04/26/2023
IV
1 G
Q6
G2 P1 100I, CIL, PROM X 6H
Waiting Final Action 
04/25/2023
CEFUROXIME 500MG (TAB)
04/25/2023
05/03/2023
PO
500mg
BID
Perineal Laceration, Msaf
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: