Rubio, Roan B.

HRN: 21-52-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/26/2022
AMPICILLIN 500MG (VIAL)
06/26/2022
07/03/2022
IV
425mg
Q12
Age With Mod Dhn
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: