Torrate, Eunice .

HRN: 05-12-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2024
AMPICILLIN 1GM (VIAL)
10/05/2024
10/07/2024
IVT
2gm
Q6
PROM X 1
Waiting Final Action 
10/07/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/07/2024
10/09/2024
IVT
500mg
Q8hrs
S/p CS With IUD
Waiting Final Action 
10/08/2024
CEFUROXIME 500MG (TAB)
10/08/2024
10/14/2024
ORAL
500mg
2 Times A Day
S/P LTCS
Waiting Final Action 
10/08/2024
METRONIDAZOLE 500MG (TAB)
10/08/2024
10/14/2024
ORAL
500mg
TID
S/P LTCS
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: