Nano, Ailyn B.

HRN: 21-25-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/14/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
04/14/2022
04/21/2022
IV
240MG
Q24
HYDROSALPINX
Waiting Final Action 
04/19/2022
DOXYCYCLINE 100MG (CAP)
04/19/2022
05/02/2022
PO
100mg
BID X 14 Days
Tubo-ovarian Abscess Secondary To Pelvic Inflammatory Disease
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: