Nalam, Adelyn .

HRN: 21-84-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/23/2024
CEFUROXIME 500MG (TAB)
09/23/2024
10/01/2024
PO
500mg
BID
Er Delivery
Waiting Final Action 
09/23/2024
METRONIDAZOLE 500MG (TAB)
09/23/2024
10/01/2024
PO
500gm
TID
Er Delivery
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: