Sumitnan, Charlita .

HRN: 02-15-84  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/01/2025
AMPICILLIN 1GM (VIAL)
06/01/2025
06/08/2025
IVT
2g
Q6
Oligohydramnios; Genital Warts
Remove - Pending Acceptance
06/02/2025
CO-AMOXICLAV 625MG (TAB)
06/02/2025
06/09/2025
PO
625mg
Bid
Prom X 2 Hrs
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: