Vicente, Vitaliana .

HRN: 03-77-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/04/2024
CEFTRIAXONE 1G (VIAL)
11/04/2024
11/11/2024
IV
2g
OD
Adhesion
Waiting Final Action 
11/04/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/04/2024
11/11/2024
IV
500 Mg
Q8
Post Op Adhesin
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: