Sumalpong, Jocelyn D.

HRN: 02-53-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/27/2023
AMPICILLIN 1GM (VIAL)
07/27/2023
08/03/2023
IV
2 G
Q6
T/C Incomplete Abortio
Waiting Final Action 
07/27/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/27/2023
08/03/2023
IV
500 Mg
Q8
T/C Incomplete Abortion
Waiting Final Action 
07/28/2023
CEFUROXIME 500MG (TAB)
07/28/2023
08/04/2023
PO
500mg Tab
BID
Post OP Prophylaxis
Waiting Final Action 
07/28/2023
METRONIDAZOLE 500MG (TAB)
07/28/2023
08/04/2023
PO
500mg
TID
Post OP Prophylaxis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: