Ricablanca, Mcklien T.

HRN: 21-63-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/28/2022
AMPICILLIN 250MG (VIAL)
08/28/2022
09/03/2022
IVT
220mg
Q12
PCAP
Waiting Final Action 
08/28/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
08/28/2022
09/03/2022
IVT
22mg
OD
PCAP
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: