Libet, Rachel .

HRN: 27-90-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/07/2025
AMPICILLIN 1GM (VIAL)
10/07/2025
10/08/2025
IVT
2g
Q6
Prom X 19hrs
Waiting Final Action 
10/07/2025
CEFUROXIME 500MG (TAB)
10/07/2025
10/13/2025
ORAL
500mg
2 Times A Day
Premature Rupture Of Membranes
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: