Dolino, Nicole Ej S.

HRN: 19-64-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/04/2022
AMPICILLIN 500MG (VIAL)
07/04/2022
07/11/2022
IV
250mg
Q6
URTI, BFC
Waiting Final Action 
07/05/2022
CEFTRIAXONE 1G (VIAL)
07/05/2022
07/12/2022
IV
900mg
Q24h
URTI
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: