Villarin, Mark Lion .

HRN: 23-17-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2023
AMPICILLIN 1GM (VIAL)
08/23/2023
08/29/2023
IV
205mg
Q6
Pcap
Waiting Final Action 
08/29/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
08/29/2023
09/04/2023
PO
1.2ml
BID
PCAP C
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: