Sinining, Nury S.

HRN: 11-80-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/10/2024
AMPICILLIN 1GM (VIAL)
04/10/2024
04/17/2024
IVT
2g
Q6
PROM X 3 Hours
Waiting Final Action 
04/10/2024
CEFUROXIME 500MG (TAB)
04/10/2024
04/17/2024
PO
500MG
BiD
PROM X 20 Hrs
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: