Limba, Betche .

HRN: 08-33-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/14/2025
ACICLOVIR 800MG (TAB)
04/14/2025
04/20/2025
ORAL
800mg
2 Times A Day
Genital Herpes Infection
Waiting Final Action 
04/16/2025
CEFUROXIME 1.5GM (VIAL)
04/16/2025
04/16/2025
IV
1.5 G
PTOR
OR PROPHYLAXIS
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: