Montoya, Jocelyn C.

HRN: 00-84-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/10/2022
AMPICILLIN 1GM (VIAL)
05/10/2022
05/10/2022
IV
2g
Q8h X 3 Doses
S/P CS
Waiting Final Action 
05/10/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/10/2022
05/10/2022
IV
500mg
Q8h X 3 Doses
S/P CS
Waiting Final Action 
05/11/2022
CO-AMOXICLAV 625MG (TAB)
05/11/2022
05/17/2022
ORAL
625mg/tab
BID
S/P Primary LTCS
Waiting Final Action 
05/11/2022
METRONIDAZOLE 500MG (TAB)
05/11/2022
05/17/2022
ORAL
500mg/tab
TID
S/P Primary LTCS
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: