Holoyohoy, Marie Gladys M.

HRN: 27-32-71  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/16/2025
AMPICILLIN 1GM (VIAL)
06/16/2025
06/22/2025
IV
2g
Q6hr
PROM X 5 Hours
Waiting Final Action 
06/16/2025
CO-AMOXICLAV 625MG (TAB)
06/16/2025
06/22/2025
PO
1 Tab
BID
NSVD With RMLE; PROM
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: