Abalde, Allene H.

HRN: 21-98-11  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/14/2022
AMPICILLIN 1GM (VIAL)
12/14/2022
12/21/2022
IVT
2grams
Q6h
PROM
Waiting Final Action 
12/15/2022
CEFUROXIME 500MG (TAB)
12/15/2022
12/22/2022
PO
500mg
BID
Prom, Uti, Msaf
Waiting Final Action 
12/15/2022
METRONIDAZOLE 500MG (TAB)
12/15/2022
12/22/2022
PO
500mg
TID
Msaf
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: