Bentolero, Jay-ann T.

HRN: 10-65-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/20/2024
AMPICILLIN 1GM (VIAL)
02/20/2024
02/22/2024
IV
2g
Q6hrs
PROM X 5 Hrs
Waiting Final Action 
02/21/2024
CEFUROXIME 500MG (TAB)
02/21/2024
02/28/2024
PO
500mg
BID
S/P NSVD With RMLE And Repair; PROM X 11 Hrs
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: