Calimpon, Analiza .

HRN: 24-84-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/08/2024
AMPICILLIN 1GM (VIAL)
05/11/2024
05/13/2024
IV
2g
Until Delivery
PROM
Waiting Final Action 
05/14/2024
AMPICILLIN 1GM (VIAL)
05/14/2024
05/15/2024
IVT
2grams
Q6
S/P LTCS
Waiting Final Action 
05/14/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/14/2024
05/15/2024
IVT
500
Q8 Hrs
LTCS
Waiting Final Action 
05/14/2024
CEFUROXIME 500MG (TAB)
05/14/2024
05/21/2024
PO
500 Mg
8 Hrs
LTCS
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: