Malindang, Lyne Z.

HRN: 17-20-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/08/2025
AMPICILLIN 1GM (VIAL)
04/08/2025
04/14/2025
IV
2 Grams
Every 6 Hours
Premature Rupture Of Membranes
Waiting Final Action 
04/09/2025
CEFUROXIME 500MG (TAB)
04/09/2025
04/16/2025
PO
500 Mg
Bid
S/p Perinorrhaphy
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: