Rom, Daisy Jane G.

HRN: 10-06-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/28/2022
CEFUROXIME 500MG (TAB)
09/28/2022
10/05/2022
ORAL
500mg
BID
Thickly Meconium Stained Amniotic Fluid
Waiting Final Action 
09/28/2022
METRONIDAZOLE 500MG (TAB)
09/28/2022
10/05/2022
ORAL
500mg
TID
Thickly Meconium Stained Amniotic Fluid
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: