Sanopao, Rica B.

HRN: 13-70-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2022
AMPICILLIN 1GM (VIAL)
06/11/2022
06/17/2022
IV
2grams
Q6
PROM
Waiting Final Action 
06/12/2022
CEFUROXIME 500MG (TAB)
06/12/2022
06/19/2022
ORAL
500mg
BID
Premature Rupture Of Membranes X 12 Hours
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: