Maquinto, Clarkson B.

HRN: 18-00-10  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/13/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/13/2024
12/20/2024
IV
675 Mg
Q6hrs
PCAP-C
Waiting Final Action 
12/16/2024
CEFIXIME 100MG/5ML, 60ML SUSPENSION (BOT)
12/16/2024
12/22/2024
PO
4ml
BID
PCAP C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: