Tambac, Prince Jay V.

HRN: 26-06-99  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/16/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/16/2024
12/23/2024
IV
125mg
Q6H
PCAP C
Waiting Final Action 
12/16/2024
AMPICILLIN 250MG (VIAL)
12/16/2024
12/23/2024
IV
160mg
Q6H
PCAP C
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: