Amsalih, Norsida .

HRN: 22-59-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/29/2023
CIPROFLOXACIN 500MG (TAB)
04/29/2023
05/06/2023
PO
1 Tab
BID
G1P1 (1001) SP NSVD With Laceration And Repair
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: