Remoroza, Trixie F.

HRN: 21-47-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/22/2022
AMPICILLIN 500MG (VIAL)
06/22/2022
06/29/2022
IV
185mg
Q6
Pcap C
06/22/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/22/2022
06/29/2022
IV
90
Q24
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: