Cabaya, Ana .

HRN: 25-30-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/16/2024
AMPICILLIN 1GM (VIAL)
06/16/2024
06/18/2024
IV
2gm
Q6 Until Delivery
PPROM X 8hours
Waiting Final Action 
06/17/2024
CEFUROXIME 500MG (TAB)
06/17/2024
06/24/2024
PO
500mg Tab
BID
S/P NSVD With RMLE And Repair
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: