Pepito, Charmelyn .

HRN: 14-82-18  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/08/2023
AMPICILLIN 1GM (VIAL)
12/08/2023
12/15/2023
IV
2g
Q6
Prom
Waiting Final Action 
12/08/2023
CEFUROXIME 1.5GM (VIAL)
12/08/2023
12/08/2023
IV
1.5gm
Now
Pre-op Prophylaxis For CS
Waiting Final Action 
12/09/2023
CEFUROXIME 500MG (TAB)
12/09/2023
12/15/2023
ORAL
500mg
BID
S/P CS
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: