Labuan, Diana Rose B.

HRN: 02-00-70  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/19/2025
CEFUROXIME 500MG (TAB)
04/19/2025
04/26/2025
PO
1 Tab
BID
SP NSVD PROM 12hrs
Waiting Final Action 
04/19/2025
CEFUROXIME 1.5GM (VIAL)
04/19/2025
04/21/2025
IV
1.5 Gm X 3 Diose
Q8hr
Sp NSVD With RMLE
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: