Delos Reyes, Anna Marie .

HRN: 01-34-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2024
AMPICILLIN 1GM (VIAL)
08/06/2024
08/07/2024
IVT
2gm
Q6
Thinly MSAF
Waiting Final Action 
08/07/2024
CEFUROXIME 500MG (TAB)
08/07/2024
08/13/2024
PO
1 Tab
BId
Post Partum; Thickly MSAF
Waiting Final Action 
08/07/2024
METRONIDAZOLE 500MG (TAB)
08/07/2024
08/13/2024
PO
1 Tab
Tid
Post Partum; Thickly MSAF
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: