Arnoco, Mary Joy .

HRN: 23-11-37  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/24/2023
AMPICILLIN 1GM (VIAL)
05/24/2023
05/25/2023
IV
2 G
Q6
PROM
Waiting Final Action 
05/24/2023
CEFUROXIME 1.5GM (VIAL)
05/24/2023
05/25/2023
IV
1.5gms
Q8hrs X 3 Doses
S/P Primary CS With IUD Insertion
Waiting Final Action 
05/25/2023
CEFUROXIME 500MG (TAB)
05/25/2023
06/01/2023
PO
500mg
BID X 7 Days
S/P Primary LTCS For Malpresentation
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: