Limatoc, Bb Boy .

HRN: 24-06-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/15/2023
AMPICILLIN 1GM (VIAL)
11/15/2023
11/22/2023
IV
139mg
Q12
Psnb
Waiting Final Action 
11/15/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
11/15/2023
11/22/2023
IV
14mg
Q24
PSNB
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: