Comcom, Irene .

HRN: 09-25-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/22/2024
AMPICILLIN 1GM (VIAL)
02/22/2024
02/23/2024
IV
2grams
Q6hr
Premature Ruptuted Of Membrane X 22 HOURS
Waiting Final Action 
02/24/2024
CO-AMOXICLAV 625MG (TAB)
02/24/2024
03/02/2024
PO
625mg
BID X 7 Days
S/P NSVD; PROM X 59 Hours
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: