Ocay, Analyn G.

HRN: 24-16-40  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/13/2024
CEFUROXIME 1.5GM (VIAL)
12/14/2024
12/14/2024
IV
1.5
PTOR
Surgical Prophylaxis
Waiting Final Action 
12/14/2024
CLINDAMYCIN 300MG (CAP)
12/14/2024
12/20/2024
PO
1 Capsule
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: