Ardines, Tricia .

HRN: 24-91-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/20/2024
AMPICILLIN 1GM (VIAL)
05/20/2024
05/21/2024
IV
2 Gm
Q 6 H
PROM X 5 Hours
Waiting Final Action 
05/24/2024
CEFUROXIME 1.5GM (VIAL)
05/24/2024
05/26/2024
IV
1.5gm
Q8 X 6 Doses
Post OP Prophylaxis
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: