Omar, Minhadz D.

HRN: 23-30-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/09/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/09/2024
05/16/2024
IV
450
Q6
PCAP 6
Waiting Final Action 
05/12/2024
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
05/12/2024
05/19/2024
PO
2.3ml
OD
PCAP-C
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: