Lim, Prince Zerachiel T.

HRN: 23-67-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/29/2024
AMPICILLIN 500MG (VIAL)
05/29/2024
06/04/2024
IVT
500mg
Q6
Acute Bacterial Infection
Waiting Final Action 
05/29/2024
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
05/29/2024
06/05/2024
PO
6ml
Q8
Amoebiasis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: