Bayo, Haidee A.

HRN: 22-05-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/06/2022
AMPICILLIN 1GM (VIAL)
10/06/2022
10/13/2022
IVTT
2gm
Q6H
PROM
Waiting Final Action 
10/06/2022
CEFUROXIME 1.5GM (VIAL)
10/06/2022
10/06/2022
IVT
1 Dose
On Call To OR
Stat CS For CPD
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: