Encabo, Jarry .

HRN: 12-80-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2025
BENZYL PENICILLIN 1MU (VIAL)
06/10/2025
06/17/2025
IM
600,000 U
Single Dose
PSGN
Checking Initial Appropriateness 
06/10/2025
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
06/10/2025
06/17/2025
PO
12.25ml
BID
PSGN
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: