Bocabar, Agnes C.

HRN: 24-82-85  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/05/2024
AMPICILLIN 1GM (VIAL)
04/05/2024
04/11/2024
IV
2grams
Q6
Leaking BOW, PROM X 13 Hours
Waiting Final Action 
04/06/2024
CEFUROXIME 500MG (TAB)
04/06/2024
04/12/2024
PO
500 Mg
BID
PROM
Waiting Final Action 
04/06/2024
METRONIDAZOLE 500MG (TAB)
04/06/2024
04/12/2024
PO
500 Mg Tab
TID
PROM 36 Hrs
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: