Latao, Bebina .

HRN: 26-57-36  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/19/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/19/2025
02/25/2025
IVTT
1.5g
Every 12hrs
CAP-MR
Waiting Final Action 
02/24/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
02/24/2025
02/24/2025
IJ CATH
1amp
Now
IJ Catheter Prophylaxis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: