Abecia, Jean .

HRN: 25-33-85  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/24/2024
AMPICILLIN 1GM (VIAL)
06/24/2024
06/25/2024
IV
2g
Q6
PROM
Waiting Final Action 
06/24/2024
CEFUROXIME 500MG (TAB)
06/24/2024
06/30/2024
ORAL
500mg
BID
PROM
Waiting Final Action 
06/24/2024
CLINDAMYCIN 300MG (CAP)
06/24/2024
06/30/2024
ORAL
300mg
Q8
IUFD Thickly Msaf
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: