Ado, Leo S.

HRN: 24-01-78  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/13/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
06/13/2024
06/13/2024
IV
80mg
1 Dose
IJ Prophylaxis
Waiting Final Action 
06/14/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
06/14/2024
06/14/2024
IVTT
80mg
Stat Dose
IJ Prophylaxis
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: