Gador, Jhon Laurence B.

HRN: 22-24-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/01/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
07/01/2023
07/07/2023
IV
40 Mg
OD
Impetigo; PCAP-C
Waiting Final Action 
07/01/2023
AMPICILLIN 1GM (VIAL)
07/01/2023
07/07/2023
IV
390
Q6H
PCAP-C
Waiting Final Action 
07/04/2023
CO-AMOXICLAV 457MG/5ML, 70ML SUSPENSION (BOT)
07/04/2023
07/11/2023
PO
3ml
BID
PCAP-C; Impetigo
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: