Clavido, Neslie .

HRN: 12-46-57  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/21/2023
AMPICILLIN 1GM (VIAL)
03/21/2023
03/22/2023
IV
1G
Q6
PROM X 5 H
Waiting Final Action 
03/22/2023
CO-AMOXICLAV 625MG (TAB)
03/22/2023
03/29/2023
PO
1 Tab
BID
S/P Primary CS Sec To Malpresentraio
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: