Gacang, Jacaius O.

HRN: 25-84-64  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/13/2024
AMPICILLIN 250MG (VIAL)
09/13/2024
09/19/2024
IV
150mg
Q12H
PROM X 55 HRS
Waiting Final Action 
09/13/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
09/13/2024
09/19/2024
IV
15mg
Q24H
PROM X 24hrs
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: