Ornillo, Zavier Kaleb D.

HRN: 26-13-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/07/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/07/2025
01/14/2025
INTRAVENOUS
280 Mg
Every 6 Hours
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:



 If inappropriate:

              

Overall appropriateness: