Nahial, Xochitt .

HRN: 21-46-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/12/2022
AMPICILLIN 1GM (VIAL)
06/12/2022
06/18/2022
IV
245mg
Q6hrs
Pcap C
Waiting Final Action 
06/13/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
06/13/2022
06/18/2022
ORAL
2.5ml
OD
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: