Dela Pañe, Irene .

HRN: 23-03-97  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2023
AMPICILLIN 1GM (VIAL)
06/20/2023
06/27/2023
IV
2g
Q6
PROM X 5 Hours
Waiting Final Action 
06/21/2023
CEFUROXIME 1.5GM (VIAL)
06/21/2023
06/27/2023
IV
1.5 G
Q8
Sp 1 LTCS
Waiting Final Action 
06/23/2023
CEFUROXIME 500MG (TAB)
06/23/2023
06/29/2023
PO
500mg
BID
S/P Ltcs
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: