Pia, Gracel Mhe B.

HRN: 23-30-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/13/2023
AMPICILLIN 1GM (VIAL)
07/13/2023
07/20/2023
IV
2g
Q6
Thinly Msaf
Waiting Final Action 
07/13/2023
CEFUROXIME 500MG (TAB)
07/13/2023
07/20/2023
PO
500 Mg
BID
NSVD With 2nd Degree Laceration And Repair, Prom X 9 Hrs
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: