Fuentes, Angel Mae L.

HRN: 27-63-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/12/2025
AMPICILLIN 1GM (VIAL)
09/12/2025
09/13/2025
IV
2g
Q6
G1P0 PROM
Remove - Pending Acceptance
09/12/2025
CEFUROXIME 500MG (TAB)
09/12/2025
09/19/2025
PO
1tab
Bid
S/p Nsvd, Meconium Stained
Remove - Pending Acceptance
09/12/2025
CEFUROXIME 500MG (TAB)
09/12/2025
09/19/2025
PO
1tab
Bod
S/p Nsvd, Prom X6H
Remove - Pending Acceptance
09/12/2025
METRONIDAZOLE 500MG (TAB)
09/12/2025
09/19/2025
PO
1tab
TID
S/P NSVD PROMx6H
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: