Bangue, Daisy Joy .

HRN: 11-49-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/03/2023
AMPICILLIN 1GM (VIAL)
04/03/2023
04/04/2023
IVTT
2g
Q6H
PROM
Waiting Final Action 
04/03/2023
CEFOTAXIME 500MG (VIAL)
04/03/2023
04/09/2023
ORAL
500mg
BID
S/P NSVD With RMLE And Repair Thickly Meconium Stained
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: