Lerasan, Shiela Mae .

HRN: 16-91-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/31/2025
AMPICILLIN 1GM (VIAL)
05/31/2025
06/03/2025
IV
2 G
Q6
PROM
Checking Initial Appropriateness 
05/31/2025
CEFUROXIME 500MG (TAB)
05/31/2025
06/07/2025
PO
500 Mg
BID
PROM
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: