Fabro, Queeny Faith .

HRN: 21-46-42  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/13/2022
AMPICILLIN 1GM (VIAL)
06/13/2022
06/19/2022
IV
198mg
Q6hrs
Pcap B; T/c UTI; R/o Viral Exanthem
Waiting Final Action 
06/15/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
06/15/2022
06/21/2022
IV
40mg
Q24h
PCAP
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: