Oliva, Marites M.

HRN: 17-72-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/10/2022
CEFUROXIME 500MG (TAB)
12/10/2022
12/16/2022
ORAL
500 Mg
BID
Meconium Stained Amniotic Fluid
Waiting Final Action 
12/10/2022
METRONIDAZOLE 500MG (TAB)
12/10/2022
12/16/2022
ORAL
500 Mg
TID
Meconium Stained Amniotic Fluid
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: