Gaas, Reggie N.

HRN: 26-82-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/22/2025
CEFTRIAXONE 1G (VIAL)
04/22/2025
04/28/2025
IV
2g
OD
AGE With Moderate Dehydration
Waiting Final Action 
04/24/2025
CO-AMOXICLAV 625MG (TAB)
04/24/2025
05/01/2025
PO
625mg/tab
TID
Otitis Media
Waiting Final Action 
04/25/2025
CIPROFLOXACIN 500MG (TAB)
04/25/2025
05/01/2025
PO
500 Mg
Bid
Age
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: