Albarico, Analyn A.

HRN: 22-29-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/09/2022
AMPICILLIN 1GM (VIAL)
12/09/2022
12/16/2022
IV
2g
Q6
Promx 22H
Waiting Final Action 
12/10/2022
CEFUROXIME 500MG (TAB)
12/10/2022
12/16/2022
PO
1 Tab
BID
S/p NSVD W/ RMLE
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: