Ruedas, Jaiden .

HRN: 27-98-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/01/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/01/2025
11/08/2025
IV
300mg
Every 6hours
Pneumonia
Checking Final Appropriateness 

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: