Mamarongcas, Hassan .

HRN: 26-54-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/16/2025
AMPICILLIN 500MG (VIAL)
01/16/2025
01/23/2025
IV
385mg
Q6h
PCAP C
Waiting Final Action 
01/16/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/16/2025
01/23/2025
IV
115mg
Q24
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: