Aranjuez, Maricel .

HRN: 26-01-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/10/2024
AMPICILLIN 1GM (VIAL)
12/10/2024
12/11/2024
IVT
2gm
Q6
PROM X 11 Hours
Waiting Final Action 
12/10/2024
CEFUROXIME 1.5GM (VIAL)
12/10/2024
12/11/2024
IV
1.5grams
Q8 X 3 Doses
S/p Primary LTCS
Waiting Final Action 
12/12/2024
CEFUROXIME 500MG (TAB)
12/12/2024
12/19/2024
PO
500mg
BID
S/p CS
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: