Ompoy, Nelson H.

HRN: 27-98-69  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/27/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/27/2025
11/03/2025
IV
1.5g
Q6H
Aspiration Pneumonia
Checking Final 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: