Samonte, Faith Jean .

HRN: 15-66-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/16/2024
AMPICILLIN 1GM (VIAL)
11/16/2024
11/23/2024
IV
2 Grams
Q6
PROM X 6 Hours
Waiting Final Action 
11/17/2024
CEFUROXIME 500MG (TAB)
11/17/2024
11/24/2024
PO
500mg
1 Tab 2x A Day For 7 Days
Thinly MSAF
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: