Albarico, Roselle E.

HRN: 02-63-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/15/2022
AMPICILLIN 1GM (VIAL)
11/15/2022
11/18/2022
IV
2gms
Q6H
PROM X 12Hrs
Waiting Final Action 
11/16/2022
CEFUROXIME 500MG (TAB)
11/16/2022
11/23/2022
PO
500mg
BID
Increased WBC
Waiting Final Action 
11/16/2022
METRONIDAZOLE 500MG (TAB)
11/16/2022
11/23/2022
PO
500mg
TID
Increased WBC
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: