Solalo, Jeraldine V.

HRN: 12-03-31  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2023
AMPICILLIN 1GM (VIAL)
07/02/2023
07/03/2023
IV
2g
Q6
PROM X 14 Hours
Waiting Final Action 
07/04/2023
CEFUROXIME 500MG (TAB)
07/04/2023
07/11/2023
PO
500mg
BID
PROM X 14 Hours; S/P Episiorraphy
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: