Lao, Marites A.

HRN: 11-39-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/11/2024
AMPICILLIN 1GM (VIAL)
08/11/2024
08/15/2024
IV
2 Grams
Q8
PROM
Waiting Final Action 
08/12/2024
CEFUROXIME 500MG (TAB)
08/12/2024
08/18/2024
ORAL
500mg
2 Times A Day
Premature Rupture Of Membranes, Shift Ampicillin To Cefuroxime
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: