Marban, Janelyn .

HRN: 26-76-61  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/02/2025
AMPICILLIN 1GM (VIAL)
03/02/2025
03/03/2025
IVT
2g
PTOR
Prom, CS
Waiting Final Action 
03/02/2025
CEFUROXIME 500MG (TAB)
03/02/2025
03/09/2025
PO
500 Mg
Bid
LTCS
Waiting Final Action 
03/02/2025
AMPICILLIN 1GM (VIAL)
03/02/2025
03/04/2025
IVT
2g
Q6
LTCS
Waiting Final Action 
03/02/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/02/2025
03/05/2025
IVT
500 Mg
Now
LTCS MECONIUM STAIN AF
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: