Dag-uman, Ashley Joy M.

HRN: 26-31-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/29/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/29/2024
12/06/2024
IV
520mg
Q6H
PCAP C
Waiting Final Action 
11/30/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
11/30/2024
12/06/2024
IV
50mg
Q8
PCAP
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: