Tual, Ailyn G.

HRN: 21-87-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/03/2022
AMPICILLIN 1GM (VIAL)
09/03/2022
09/10/2022
IV
2g
Now
Prophylaxis Inevitable Abortion
Waiting Final Action 
09/07/2022
CEFUROXIME 500MG (TAB)
09/07/2022
09/14/2022
PO
500 Mg
BID
Inevitable Abortion; Oligohydramnios
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: