Comaingking, Rea Mea B.

HRN: 23-13-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/03/2023
AMPICILLIN 1GM (VIAL)
06/03/2023
06/09/2023
IV
2grams
Q6
PROM
Waiting Final Action 
06/10/2023
CO-AMOXICLAV 625MG (TAB)
06/10/2023
06/17/2023
PO
625 Mg
Every 12 Hours
S/P Episiorrhaphy
Waiting Final Action 
06/16/2023
CEFIXIME 200MG (CAP)
06/16/2023
06/23/2023
PO
200mg
Q12hrs
Pneumonia
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: