Auxtero, Francisca O.

HRN: 22-99-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/29/2023
CEFAZOLIN 1GM (VIAL)
04/29/2023
04/29/2023
IV
2g
Now
Ectopic Pregnancy
Waiting Final Action 
04/29/2023
CEFAZOLIN 1GM (VIAL)
04/29/2023
04/30/2023
IV
2gm
Q12 2 Doses
Post Prophylaxis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: