Jemino, Pretty May .

HRN: 24-16-16  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 4 Hours
Checking Final Appropriateness 
11/30/2023
CO-AMOXICLAV 625MG (TAB)
11/30/2023
12/07/2023
ORAL
625mg
BID
NSVD With Perineal Laceration
Checking Final Appropriateness 

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: