Butac, Quinie B.

HRN: 2  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/07/2022
CEFUROXIME 500MG (TAB)
04/07/2022
04/14/2022
PO
500mg
BID
PROM
Waiting Final Action 
04/07/2022
AMPICILLIN 1GM (VIAL)
04/07/2022
04/14/2022
IV
2grams
Q6h
PROM
Waiting Final Action 

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: