Maghanoy, Mel Jairus S.

HRN: 21-81-47  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/15/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
08/15/2022
08/21/2022
IV
480
Q6
URTI
Waiting Final Action 
08/17/2022
CO-AMOXICLAV 457MG/5ML, 70ML SUSPENSION (BOT)
08/17/2022
08/23/2022
ORAL
4ml
TID
Acute Gastritis, URTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: