Lugay, Christian .

HRN: 25-70-36  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/18/2025
AMPICILLIN 1GM (VIAL)
12/18/2025
12/25/2025
IV
720mg
Q6h
PCAP C;R/O DF Vs UTI
Checking Final Appropriateness 
12/18/2025
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
12/18/2025
12/25/2025
TOPICAL
2mL
QID
Canker Sores
Checking Final Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: