Ombajen, Jestoni .

HRN: 21-82-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2022
CEFTRIAXONE 1G (VIAL)
08/23/2022
08/30/2022
IV
900
Q24
AGE
Waiting Final Action 
08/24/2022
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
08/24/2022
08/31/2022
TOPICAL
Apply On Affected Side
Q8H
Mouth Ulcers
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: