Delas Penas, Love Joy .

HRN: 26-64-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2025
AMPICILLIN 1GM (VIAL)
02/12/2025
02/19/2025
IVTT
2 Grams
Q6
TMSAF
Waiting Final Action 
02/12/2025
CEFUROXIME 500MG (TAB)
02/12/2025
02/19/2025
PO
500mg
BID
Thinly Msaf
Waiting Final Action 
02/12/2025
METRONIDAZOLE 500MG (TAB)
02/12/2025
02/19/2025
PO
500mg
BID
Thinly Msaf
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: