Araham, Anisa .

HRN: 25-17-51  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/02/2024
AMPICILLIN 1GM (VIAL)
06/02/2024
06/08/2024
IV
2g
Q6
Uti
Waiting Final Action 
06/01/2024
CEFUROXIME 500MG (TAB)
06/03/2024
06/10/2024
PO
1 Tablet
BID
UTI
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: