Otom, Joy Jean J.

HRN: 22-95-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/01/2023
CEFUROXIME 1.5GM (VIAL)
05/01/2023
05/02/2023
IVT
1.5g
Now Then Q8H
MSAF
Waiting Final Action 
05/01/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/01/2023
05/02/2023
IVT
500mg
Now Then Q8H
MSAF
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: