Montemor, Pearl Grace N.

HRN: 06-44-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/08/2024
AMPICILLIN 1GM (VIAL)
10/08/2024
10/14/2024
IV
2 Grams
Every 6 Hours
Premature Rupture Of Membranes
Waiting Final Action 
10/09/2024
CEFUROXIME 500MG (TAB)
10/09/2024
10/15/2024
PO
1 Tab
BID
Post Op Prophylaxis
Waiting Final Action 
10/09/2024
METRONIDAZOLE 500MG (TAB)
10/09/2024
10/15/2024
PO
1 Tab
TID
Post Op Prophylaxis
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: