Pacot, Romeo .

HRN: 19-24-11  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/18/2023
AMPICILLIN 1GM (VIAL)
08/18/2023
08/24/2023
IVTT
565mg
Q6h
PCAP C
Waiting Final Action 
08/21/2023
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
08/21/2023
08/25/2023
ORAL
3.5ml
Q8
PCAP C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: