Pantorilla, Vernamie .

HRN: 26-77-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/13/2025
AMPICILLIN 1GM (VIAL)
03/13/2025
03/14/2025
IV
2g
Q6 ANST
Prom
Waiting Final Action 
03/13/2025
CEFUROXIME 500MG (TAB)
03/13/2025
03/19/2025
ORAL
500mg
2 Times A Day
NSVD With RMLE, PROM
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: