Adolfo, Regine .

HRN: 24-18-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/29/2023
AMPICILLIN 1GM (VIAL)
11/29/2023
12/06/2023
IV
2gm
Q6
Prom X 10 Hrs
Checking Final Appropriateness 
12/01/2023
CEFUROXIME 500MG (TAB)
12/01/2023
12/07/2023
ORAL
500mg
BID
NSVD With Perineal Laceration
Checking Final Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: