Tugenio, Zayne Ethan .

HRN: 23-83-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/03/2024
AMPICILLIN 500MG (VIAL)
05/03/2024
05/09/2024
IV
380mg
Q6h
PCAP C
Waiting Final Action 
05/06/2024
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
05/06/2024
05/10/2024
PO
1.5ml
Tid
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: