Jalaluddin, Elenamae .

HRN: 26-88-24  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/30/2025
CEFUROXIME 1.5GM (VIAL)
03/30/2025
03/31/2025
IV
1.5g
PTOR
Possible Stat Cs
Waiting Final Action 
03/30/2025
AMPICILLIN 1GM (VIAL)
03/30/2025
04/01/2025
IV
2g
Q6hrs
PROM X 3 Hrs
Waiting Final Action 
03/30/2025
CEFUROXIME 500MG (TAB)
03/30/2025
04/06/2025
PO
500mg
BID
SP RLTCS WITH IUD INSERTION
Waiting Final Action 
03/30/2025
MUPIROCIN 2%, 15G (TUBE)
03/30/2025
04/06/2025
TOPICAL
2%
BID
SP RLTCS WITH IUD INSERTION
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: