Ulanghutan, Muhammad Rhyadh T.

HRN: 26-53-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/30/2025
ACICLOVIR 400MG (TAB)
05/30/2025
06/06/2025
PO
160mg/pptab 1pptab
Q6
Varicella Infection
Waiting Final Action 
05/30/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/30/2025
06/06/2025
IV
400mg
Q6
SSTIs
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: