Bacordo, Aileen Ria E.

HRN: 08-57-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/04/2022
AMPICILLIN 1GM (VIAL)
07/04/2022
07/05/2022
IV
2 Grams
Q6 Hours
PROM
Waiting Final Action 
07/05/2022
CEFUROXIME 500MG (TAB)
07/05/2022
07/12/2022
ORAL
500mg
BID
TMSAF
Waiting Final Action 
07/05/2022
METRONIDAZOLE 500MG (TAB)
07/05/2022
07/12/2022
ORAL
500mg
TID
TMSAF
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: