Pañares, Riza Mae A.

HRN: 23-36-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/21/2023
AMPICILLIN 500MG (VIAL)
07/21/2023
07/28/2023
IVT
500mg
Q6
PROM X 12 Hours
Waiting Final Action 
07/21/2023
CEFUROXIME 500MG (TAB)
07/21/2023
07/28/2023
PO
500mg Tab
BID
Prophylaxis For 2nd Degree Perineal Laceration ; PROM X 20 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:



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Overall appropriateness: