Andale , Khurt Rendelle .

HRN: 25-13-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/13/2024
AMPICILLIN 500MG (VIAL)
05/13/2024
05/20/2024
IV
150mg
Q12h
PSNB
Waiting Final Action 
05/13/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/13/2024
05/20/2024
IV
15mg
Q24H
PSNB
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: