Dayap, Mary Joy .

HRN: 24-20-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/15/2024
AMPICILLIN 500MG (VIAL)
05/15/2024
05/22/2024
IV
335
Q6
PCAP C
Waiting Final Action 
05/17/2024
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
05/17/2024
05/22/2024
IV
1.5ml
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:



 If inappropriate:

              

Overall appropriateness: