Hintapa, Theo .

HRN: 24-56-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/12/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/12/2025
03/18/2025
IV DRIP
300mg
Q6
PCAP C
Waiting Final Action 
03/15/2025
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
03/15/2025
03/22/2025
PO
2.7ml
Q12hours
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: