Nuena, Jennelyn C.

HRN: 27-62-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/12/2025
AMPICILLIN 1GM (VIAL)
08/12/2025
08/19/2025
IVT
2g
Q6
PROM
Checking Initial Appropriateness 
08/12/2025
CEFUROXIME 500MG (TAB)
08/12/2025
08/18/2025
PO
500mg
Bid
Nsvd Wbc 21
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: