Delasas, Niña C.

HRN: 04-00-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/12/2022
CEFUROXIME 500MG (TAB)
09/12/2022
09/19/2022
PO
500 Mg
BID
Fetal Death In Utero
Waiting Final Action 
09/12/2022
METRONIDAZOLE 500MG (TAB)
09/12/2022
09/19/2022
PO
500 Mg
TID
Fetal Death In Utero
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: