Caballero, Kharen .

HRN: 22-40-32  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/30/2022
AMPICILLIN 1GM (VIAL)
12/30/2022
01/05/2023
IV
2g
Q6
PROM
Waiting Final Action 
12/30/2022
CEFUROXIME 1.5GM (VIAL)
12/30/2022
01/06/2023
IV
1.5 Gms
Q 8 Hrs
SP LTCS
Waiting Final Action 
12/31/2022
CEFUROXIME 500MG (TAB)
12/31/2022
01/06/2023
PO
1 Tab
BID
S/p LTCS
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: