Banagan, Rosalie .

HRN: 23-46-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/29/2024
AMPICILLIN 1GM (VIAL)
06/29/2024
06/30/2024
IV
2 Grams
Q6
PROM X 12 HOURS
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: