Mananghac, Sheila .

HRN: 06-46-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2024
AMPICILLIN 1GM (VIAL)
03/24/2024
03/31/2024
IV
2gm
Q6
PROM X 2 Hours
Waiting Final Action 
03/25/2024
CEFUROXIME 500MG (TAB)
03/25/2024
03/31/2024
PO
500mg Tab
BID
Post NSVD With 2nd Deg Laceration And Repair; PROM X 6 Hours
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: