Mondares, Reign Vianna B.

HRN: 20-54-60  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/18/2022
CEFUROXIME 750MG (VIAL)
10/18/2022
10/25/2022
IV
400mg
Q8
AGE
Waiting Final Action 
10/18/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/18/2022
10/25/2022
IVTT
120mg
Q8h
Intestinal Amoebisis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: