Dapitan, Angel Faye .

HRN: 22-37-71  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/21/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/21/2025
12/29/2025
IV
460mg
Q6h
PCAP C;AGE With Mild DHN
Checking Initial 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: