Alao, Baby Boy .

HRN: 28-15-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/23/2025
AMPICILLIN 500MG (VIAL)
11/23/2025
11/30/2025
IV
370mg
Q6
AGE
Checking Initial Appropriateness 
11/24/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
11/24/2025
11/30/2025
PO
2.9mL
TID
Amoebiasis
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: