Macababayao, Rosen Mae G.

HRN: 25-37-57  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/28/2024
CEFUROXIME 750MG (VIAL)
07/28/2024
08/04/2024
IV
1.5 Grams
Q8
For Open Cholecystectomy
Waiting Final Action 
07/28/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/28/2024
08/04/2024
IV
500mg
Q8hrs
For Open Cholecystectomy
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: