Timtim, Ginagene .

HRN: 27-09-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2025
AMPICILLIN 1GM (VIAL)
05/28/2025
06/04/2025
IV
2g
Q6hrs
PROM
Waiting Final Action 
05/29/2025
CEFUROXIME 500MG (TAB)
05/29/2025
06/05/2025
PO
1 Tab
BID
SP NSVD THICKLY MSAF PROM X9hrs
Waiting Final Action 
05/29/2025
METRONIDAZOLE 500MG (TAB)
05/29/2025
06/05/2025
PO
1 Tab
TID
SP NSVD MSAF PROM X 9 Hrs
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: