Cortez, John Asher T.

HRN: 23-48-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/10/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/10/2023
08/16/2023
IV
48 Mg
OD
Breastfeeding Jaundice
Waiting Final Action 
08/10/2023
AMPICILLIN 250MG (VIAL)
08/10/2023
08/16/2023
IV
160 Mg
Q12H
Breastfeeding Jaundice
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: